Howard Brown Health Center in Chicago - Federally Qualified Health Center (fqhc)
Howard Brown Health Center - NPI 1306048632
Howard Brown Health Center is a Federally Qualified Health Center (fqhc) in Chicago, Illinois. Howard Brown Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Howard Brown Health Center is 1306048632. The last update date is 2022-06-29.
Howard Brown Health Center's current location address is 4025 N Sheridan Rd, Chicago, Illinois. You can contact this provider via phone number 7733881600 and fax number 7733881602. The mailing address for Howard Brown Health Center is 4025 N Sheridan Rd, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Howard Brown Health Center |
---|---|
Address | 4025 N Sheridan Rd, Chicago, Illinois |
Phone Number | 7733881600 |
Fax Number | 7733881602 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CREDENTIAL |
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Authorized Official Name | Johnson Burgundy |
Telephone Number | 8726293491 |
NPI Number Detail
NPI Number | 1306048632 |
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Provider Enumeration Date | 2007-05-31 |
Last Updated Date | 2022-06-29 |
Provider Mailing Address Detail
Address | 4025 N Sheridan Rd |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606132010 |
Phone Number | 7733881600 |
Fax Number | 7733881602 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
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Taxonomy | 261Qf0400X |
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
30411 | IL | STATE LICENSE NUMBER |
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What is the unique 10-digit identifier code assigned to Howard Brown Health Center by the Centers for Medicare & Medicaid Services?
The Howard Brown Health Center has been issued the NPI (National Provider Identifier) 1306048632 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Howard Brown Health Center's physical address?
The Howard Brown Health Center is physically located at 4025 N Sheridan Rd, in the city of Chicago, IL, with the postal code 606132010.
What is Howard Brown Health Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Howard Brown Health Center's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306048632 to Howard Brown Health Center?
The Centers for Medicare & Medicaid Services originally issued the 1306048632 to Howard Brown Health Center on 2007-05-31.
When was the Howard Brown Health Center's information last updated?
The Howard Brown Health Center's information was last updated on 2022-06-29.