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Contact Information

PROMISE HEALTHCARE NFP
819 BLOOMINGTON ROAD
CHAMPAIGN, IL61820
 Phone: 217-359-7404
 Fax: 217-403-5469
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PROMISE HEALTHCARE NFP

NPI Number 1407005879
LBN Legal business name PROMISE HEALTHCARE NFP
Authorized official JENNIFER HENRY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/10/2008
Last updated 06/03/2024 - About 2 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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