Near North Health Service Corporation in Chicago - Federally Qualified Health Center (fqhc)
Near North Health Service Corporation - NPI 1821079088
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 1821079088. The last update date is 2021-07-26.
Near North Health Service Corporation's current location address is 1276 N Clybourn Ave, Chicago, Illinois. You can contact this provider via phone number 3123371073 and fax number 3123377616. The mailing address for Near North Health Service Corporation is 1276 N Clybourn Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Near North Health Service Corporation |
|---|---|
| Address | 1276 N Clybourn Ave, Chicago, Illinois |
| Phone Number | 3123371073 |
| Fax Number | 3123377616 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mills-Thomas Berneice |
| Telephone Number | 3123371073 |
NPI Number Detail
| NPI Number | 1821079088 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2021-07-26 |
Provider Mailing Address Detail
| Address | 1276 N Clybourn Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606102089 |
| Phone Number | 3123371073 |
| Fax Number | 3123377616 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Post Comment/ Review Below
What is the Near North Health Service Corporation's unique identification number?
The Near North Health Service Corporation has been assigned the NPI (National Provider Identifier) Number 1821079088 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Near North Health Service Corporation's facilities are situated?
The facilities of Near North Health Service Corporation are physically located at the following address: 1276 N Clybourn Ave, Chicago, IL, 606102089.
What is the Near North Health Service Corporation's area of specialization and corresponding taxonomy classification?
The Near North Health Service Corporation's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1821079088 to Near North Health Service Corporation?
The Near North Health Service Corporation received its 1821079088 assignment from the Centers for Medicare & Medicaid Services on 2005-11-07.
When was the information regarding Near North Health Service Corporation, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Near North Health Service Corporation, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-07-26.