CHESTNUT HEALTH SYSTEMS INC.; NPI #1225740756

Contact Information

CHESTNUT HEALTH SYSTEMS INC.

1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701-1429

Phone: 888-924-3678
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for CHESTNUT HEALTH SYSTEMS INC.

NPI Number	`1225740756`
LBN Legal business name	CHESTNUT HEALTH SYSTEMS INC.
Authorized official	MEGAN TAYLOR - (MANAGED CARE SUPERVISOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/15/2022
Last updated	03/16/2023 - About 3 years ago
Identifiers	n/a

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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