Pcc Community Wellness Center in Oak Park - Federally Qualified Health Center (fqhc)
Pcc Community Wellness Center - NPI 1073536991
Pcc Community Wellness Center is a Federally Qualified Health Center (fqhc) in Oak Park, Illinois. Pcc Community Wellness Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Pcc Community Wellness Center is 1073536991. The last update date is 2022-07-21.
Pcc Community Wellness Center's current location address is 14 W Lake St, Oak Park, Illinois. You can contact this provider via phone number 7083830113 and fax number 7083831378. The mailing address for Pcc Community Wellness Center is 14 W Lake St, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pcc Community Wellness Center |
|---|---|
| Address | 14 W Lake St, Oak Park, Illinois |
| Phone Number | 7083830113 |
| Fax Number | 7083831378 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Urso J Robert |
| Telephone Number | 7083839786 |
NPI Number Detail
| NPI Number | 1073536991 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 14 W Lake St |
|---|---|
| City | Oak Park |
| State | Illinois (IL) |
| Post Code | 603022606 |
| Phone Number | 7083830113 |
| Fax Number | 7083831378 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 1 |
|
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 |
|---|---|---|---|
| 141888 | MEDICARE PART A PROVIDER NUMBE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pcc Community Wellness Center?
The Pcc Community Wellness Center has been issued the NPI (National Provider Identifier) 1073536991 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Pcc Community Wellness Center's facilities are situated?
The facilities of Pcc Community Wellness Center are physically located at the following address: 14 W Lake St, Oak Park, IL, 603022606.
What is Pcc Community Wellness Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pcc Community Wellness Center is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date was the 1073536991 assigned to Pcc Community Wellness Center?
The Pcc Community Wellness Center was issued its 1073536991 on 2006-07-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Pcc Community Wellness Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pcc Community Wellness Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-21.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN