Near North Health Service Corporation in Chicago - Federally Qualified Health Center (fqhc)
Near North Health Service Corporation - NPI 1073594297
Near North Health Service Corporation is a Federally Qualified Health Center (fqhc) in Chicago, Illinois. Near North Health Service Corporation practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Near North Health Service Corporation is 1073594297. The last update date is 2021-07-13.
Near North Health Service Corporation's current location address is 4829 S Cottage Grove Ave, Chicago, Illinois. You can contact this provider via phone number 7735481170 and fax number 7735481404. The mailing address for Near North Health Service Corporation is 4829 S Cottage Grove Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Near North Health Service Corporation |
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Address | 4829 S Cottage Grove Ave, Chicago, Illinois |
Phone Number | 7735481170 |
Fax Number | 7735481404 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Mills-Thomas Berneice |
Telephone Number | 3123371073 |
NPI Number Detail
NPI Number | 1073594297 |
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Provider Enumeration Date | 2005-11-07 |
Last Updated Date | 2021-07-13 |
Provider Mailing Address Detail
Address | 4829 S Cottage Grove Ave |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606151600 |
Phone Number | 7735481170 |
Fax Number | 7735481404 |
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. |
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What is the Near North Health Service Corporation's 1073594297?
The Near North Health Service Corporation's NPI (National Provider Identifier) Number is 1073594297. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Near North Health Service Corporation?
The Near North Health Service Corporation is physically situated at 4829 S Cottage Grove Ave, in the city of Chicago, state of IL, with the postal code 606151600.
What is the area of specialization for Near North Health Service Corporation, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Near North Health Service Corporation is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
When did Near North Health Service Corporation receive its 1073594297 assignment?
The Near North Health Service Corporation was assigned its 1073594297 on 2005-11-07, which is the date when this unique identifier was issued to the organization.
When was the Near North Health Service Corporation's information last updated?
The Near North Health Service Corporation's information was last updated on 2021-07-13.