National Provider Identifier Database

ERIE FAMILY HEALTH CENTER 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

ERIE FAMILY HEALTH CENTER, INC
1701 W SUPERIOR ST
CHICAGO, IL60622-5646
Phone: 312-432-7394
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for ERIE FAMILY HEALTH CENTER, INC

NPI Number 1760499545
Legal business name
LBN
ERIE FAMILY HEALTH CENTER, INC
Authorized official LEE FRANCIS - (PESIDENT AND CEO)
Entity Organization
Organization subpart No
Enumeration date 08/02/2006
Last updated 11/02/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Other: 1616827 BLUE CROSS BLUE SHIELD PROVIDER NUMBER
  • IL Other: 748480 MEDICARE PART B
  • WI Other: F100260003 MEDICARE PART B PTAN

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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