National Provider Identifier Database

GRAND PRAIRIE SERVICES
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

GRAND PRAIRIE SERVICES
450 W 14TH ST
CHICAGO HEIGHTS, IL60411-2463
Phone: 708-985-3040
Fax: 708-474-8144
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for GRAND PRAIRIE SERVICES

NPI Number 1447723564
Legal business name
LBN
GRAND PRAIRIE SERVICES
Authorized official SHARRONNE WARD - (PRESIDENT AND CEO)
Entity Organization
Organization subpart Yes
Enumeration date 01/11/2019
Last updated 11/20/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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