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Contact Information

ERIE FAMILY HEALTH CENTER INC.
5110 N DAMEN AVE
CHICAGO, IL60625-1317
 Phone: 312-666-3494
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for ERIE FAMILY HEALTH CENTER INC.

NPI # 1164713129
LBN Legal business name ERIE FAMILY HEALTH CENTER INC.
Authorized official GABRIELA NORENA - (PATIENT ACCOUNT SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2011
Last updated 04/26/2011 - About 15 years ago
Identifiers
IL License # 261QF0400X
IL Other 1616827 BLUE CROSS BLUE SHIELD
IL Other 748480 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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