CHRISTIAN COMMUNITY HEALTH CENTER; NPI #1780857219

Contact Information

CHRISTIAN COMMUNITY HEALTH CENTER

364 TORRENCE AVE
CALUMET CITY, IL 60409-1902

Phone: 708-868-9457
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 #	`1780857219`
LBN Legal business name	CHRISTIAN COMMUNITY HEALTH CENTER
Authorized official	KENNETH BURNETT - (CHIEF EXECUTIVE OFFICER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/04/2008
Last updated	02/09/2022 - About 4 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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