TRI CITY HEALTH PARTNERSHIP NPI 1073899118

NPI Information

NPI: 1073899118
Provider Name: TRI CITY HEALTH PARTNERSHIP
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 14D2080484

Address:
318 WALNUT ST
ST CHARLES, IL
ZIP 60174
Phone: (630) 377-9277
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TRI CITY HEALTH PARTNERSHIP is a community health clinic center in St Charles, IL. TRI CITY HEALTH PARTNERSHIP NPI is 1073899118. The provider is registered as an organization entity type.

The provider's business location address is:

318 WALNUT ST
ST CHARLES, IL
ZIP 60174-725
Phone: (630) 377-9277

The provider's authorized official is Shannon Watson .
The authorized official title is Executive Director and has the following contact phone number (630) 377-9277.

The CLIA number assigned to this NPI record is 14D2080484 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2011 and was last updated on 11/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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