COMMUNITY HEALTH IMPROVEMENT CENTER NPI 1518384213

NPI Information

NPI: 1518384213
Provider Name: COMMUNITY HEALTH IMPROVEMENT CENTER

Doing Business As: COMMUNITY HEALTH IMPROVEMENT CENTER AT DECATUR MEMORIAL HOSPITAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2300 N EDWARD ST
DECATUR, IL
ZIP 62526
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 1518384213. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Health Improvement Center At Decatur Memorial Hospital.

The provider's business location address is:

2300 N EDWARD ST
DECATUR, IL
ZIP 62526-163
Phone: (217) 877-9117

The provider's authorized official is Tanya Andricks .
The authorized official title is Executive Director and has the following contact phone number (217) 877-6111.

The enumeration date for this NPI number is 3/20/2014 and was last updated on 3/24/2014.

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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