COMMUNITY HEALTH IMPROVEMENT CENTER NPI 1194794917

NPI Information

NPI: 1194794917
Provider Name: COMMUNITY HEALTH IMPROVEMENT CENTER

Doing Business As: CROSSING HEALTHCARE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
320 E CENTRAL AVE
DECATUR, IL
ZIP 62521
Phone: (217) 877-9117
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COMMUNITY HEALTH IMPROVEMENT CENTER is a federally qualified health center (fqhc) clinic center in Decatur, IL. COMMUNITY HEALTH IMPROVEMENT CENTER NPI is 1194794917. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossing Healthcare.

The provider's business location address is:

320 E CENTRAL AVE
DECATUR, IL
ZIP 62521-665
Phone: (217) 877-9117
Fax: (217) 330-8770

The provider's authorized official is Tanya R Andricks .
The authorized official title is Executive Director/ceo and has the following contact phone number (217) 877-9117.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 12/28/2015.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	676750	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	300961830001	MEDICAID	ILLINOIS
3	676750	MEDICARE PIN
4	141830	MEDICARE PIN	ILLINOIS
5	141830	MEDICARE OSCAR/CERTIFICATION	ILLINOIS

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

NPI Synchronization or Removal

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