Community Health Partnership Of Illinois in Mendota - Federally Qualified Health Center (fqhc)
Community Health Partnership Of Illinois - NPI 1093981367
Community Health Partnership Of Illinois is a Federally Qualified Health Center (fqhc) in Mendota, Illinois. Community Health Partnership Of Illinois practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Community Health Partnership Of Illinois is 1093981367. The last update date is 2015-10-30.
Community Health Partnership Of Illinois's current location address is 1009 Main St, Mendota, Illinois. You can contact this provider via phone number 8155396124 and fax number 8155399015. The mailing address for Community Health Partnership Of Illinois is 1009 Main St, Mendota, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Health Partnership Of Illinois |
|---|---|
| Address | 1009 Main St, Mendota, Illinois |
| Phone Number | 8155396124 |
| Fax Number | 8155399015 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bauer Susan |
| Credentials | MA, MPH |
| Telephone Number | 3127950000 |
NPI Number Detail
| NPI Number | 1093981367 |
|---|---|
| Provider Enumeration Date | 2008-05-06 |
| Last Updated Date | 2015-10-30 |
Provider Mailing Address Detail
| Address | 1009 Main St |
|---|---|
| City | Mendota |
| State | Illinois (IL) |
| Post Code | 613421604 |
| Phone Number | 8155396124 |
| Fax Number | 8155399015 |
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. |
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What is the unique provider identifier assigned to Community Health Partnership Of Illinois?
The Community Health Partnership Of Illinois has been issued the NPI (National Provider Identifier) 1093981367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Community Health Partnership Of Illinois's facilities are geographically located?
The facilities of Community Health Partnership Of Illinois are physically situated at the following location: 1009 Main St, Mendota, IL, 613421604.
What is the area of specialization for Community Health Partnership Of Illinois, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Community Health Partnership Of Illinois is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
On what date did Community Health Partnership Of Illinois receive its 1093981367 assignment from the Centers for Medicare & Medicaid Services?
The Community Health Partnership Of Illinois was assigned its 1093981367 on 2008-05-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Community Health Partnership Of Illinois most recently updated?
The details pertaining to the Community Health Partnership Of Illinois, including its address, specialty, and other relevant information, were last refreshed on 2015-10-30.
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