CHRISTIAN COMMUNITY HEALTH CENTER; NPI #1750757449

Contact Information

CHRISTIAN COMMUNITY HEALTH CENTER

9718 S HALSTED ST
CHICAGO, IL 60628-1007

Phone: 773-233-4100
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 CHRISTIAN COMMUNITY HEALTH CENTER

NPI # 1750757449

LBN Legal business name CHRISTIAN COMMUNITY HEALTH CENTER

Authorized official DARLENE OGBUAGU - (MANAGER, REVENUE CYCLE)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/17/2015

Last updated 02/09/2022 - About 4 years ago

Identifiers

License #

209012746

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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