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Contact Information

ERIE FAMILY HEALTH CENTER, INC
646 N LAWNDALE AVE
CHICAGO, IL60624-1254
 Phone: 312-432-7423
 Fax:
 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 ERIE FAMILY HEALTH CENTER, INC

NPI Number 1770770273
LBN Legal business name ERIE FAMILY HEALTH CENTER, INC
Authorized official GABRIELA NORENA - (BILLING DEPARTMENT SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2007
Last updated 12/15/2008 - About 17 years ago
Identifiers
IL Other 1616827 BLUE CROSS BLUE SHIELD PROVIDER NUMBER
IL Other 748480 MEDICARE PART B
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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