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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

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

NPI Profile & details for GRAND PRAIRIE SERVICES

NPI # 1447723564
LBN Legal business name GRAND PRAIRIE SERVICES
Authorized official SHARRONNE WARD - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/11/2019
Last updated 11/20/2023 - 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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