CHESTNUT HEALTH SYSTEMS INC NPI 1326417080

NPI Information

NPI: 1326417080
Provider Name: CHESTNUT HEALTH SYSTEMS, INC

Other Name: CHESTNUT FAMILY HEALTH CENTER GRANITE CITY

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL
ZIP 62040
Phone: (618) 512-1919
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CHESTNUT HEALTH SYSTEMS, INC is a federally qualified health center (fqhc) clinic center in Granite City, IL. CHESTNUT HEALTH SYSTEMS, INC NPI is 1326417080. The provider is registered as an organization entity type.
The provider Other Name Is Chestnut Family Health Center Granite City.

The provider's business location address is:

50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL
ZIP 62040-805
Phone: (618) 512-1919
Fax: (618) 512-1920

The provider's authorized official is Megan Marie Taylor .
The authorized official title is Manged Care Supervisor and has the following contact phone number (888) 924-3786.

The CLIA number assigned to this NPI record is 14D2102459 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2015 and was last updated on 3/16/2023.

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

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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