National Provider Identifier Database

CHESTNUT HEALTH SYSTEMS INC
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

CHESTNUT HEALTH SYSTEMS, INC.
2148 VADALABENE DR
MARYVILLE, IL62062-5632
Phone: 618-877-4420
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CHESTNUT HEALTH SYSTEMS, INC.

NPI Number 1467174177
Legal business name
LBN
CHESTNUT HEALTH SYSTEMS, INC.
Authorized official MEGAN TAYLOR - (MANAGED CARE SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 09/19/2022
Last updated 03/16/2023 - 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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