County Of Lake in Round Lake Beach - Federally Qualified Health Center (fqhc)
County Of Lake - NPI 1750310884
County Of Lake is a Federally Qualified Health Center (fqhc) in Round Lake Beach, Illinois. County Of Lake practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for County Of Lake is 1750310884. The last update date is 2009-01-22.
County Of Lake's current location address is 224 W Clarendon Dr, Round Lake Beach, Illinois. You can contact this provider via phone number 8479845100 and fax number 8479845120. The mailing address for County Of Lake is 224 W Clarendon Dr, Round Lake Beach, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | County Of Lake |
|---|---|
| Address | 224 W Clarendon Dr, Round Lake Beach, Illinois |
| Phone Number | 8479845100 |
| Fax Number | 8479845120 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Pierce T Irene |
| Credentials | MSN |
| Telephone Number | 8473778000 |
NPI Number Detail
| NPI Number | 1750310884 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2009-01-22 |
Provider Mailing Address Detail
| Address | 224 W Clarendon Dr |
|---|---|
| City | Round Lake Beach |
| State | Illinois (IL) |
| Post Code | 6007318960 |
| Phone Number | 8479845100 |
| Fax Number | 8479845120 |
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 County Of Lake's unique identification number?
The County Of Lake has been assigned the NPI (National Provider Identifier) Number 1750310884 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 County Of Lake's facilities are situated?
The facilities of County Of Lake are physically located at the following address: 224 W Clarendon Dr, Round Lake Beach, IL, 6007318960.
What is the County Of Lake's area of specialization and corresponding taxonomy classification?
The County Of Lake'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 1750310884 to County Of Lake?
The County Of Lake received its 1750310884 assignment from the Centers for Medicare & Medicaid Services on 2006-07-01.
As of what date was the information regarding County Of Lake, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to County Of Lake, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-01-22.
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