Community Health Improvement Center in Decatur - Federally Qualified Health Center (fqhc)
Community Health Improvement Center - NPI 1194794917
Community Health Improvement Center is a Federally Qualified Health Center (fqhc) in Decatur, Illinois. Community Health Improvement Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Community Health Improvement Center is 1194794917. The last update date is 2015-12-28.
Community Health Improvement Center's current location address is 320 E Central Ave, Decatur, Illinois. You can contact this provider via phone number 2178779117 and fax number 2173308770. The mailing address for Community Health Improvement Center is 320 E Central Ave, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Health Improvement Center |
|---|---|
| Address | 320 E Central Ave, Decatur, Illinois |
| Phone Number | 2178779117 |
| Fax Number | 2173308770 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Andricks R Tanya |
| Telephone Number | 2178779117 |
NPI Number Detail
| NPI Number | 1194794917 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2015-12-28 |
Provider Mailing Address Detail
| Address | 320 E Central Ave |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625214665 |
| Phone Number | 2178779117 |
| Fax Number | 2173308770 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| 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 |
|---|---|---|---|
| 300961830001 | IL | -- |
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What is the unique 10-digit identification code issued to Community Health Improvement Center by the Centers for Medicare & Medicaid Services?
The Community Health Improvement Center has been assigned the NPI (National Provider Identifier) 1194794917 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Community Health Improvement Center?
The Community Health Improvement Center is situated at 320 E Central Ave, in the city of Decatur, state of IL, with the zip code 625214665.
What is the Community Health Improvement Center's specialty and taxonomy code?
The Community Health Improvement Center's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Community Health Improvement Center receive its 1194794917 assignment from the Centers for Medicare & Medicaid Services?
The Community Health Improvement Center was assigned its 1194794917 by the Centers for Medicare & Medicaid Services on 2006-03-15.
As of what date were the Community Health Improvement Center's details last updated?
The information pertaining to the Community Health Improvement Center, including its address, specialty, and other details, was most recently updated on 2015-12-28.
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