The Board of Trustees of the University of Illinois
Doing business as Ui Health Mile Square Health Center LP Johnson Roc
Federally qualified health center in Rockford, IL, Medicare certification number 781936.
Medicare certification
Provider of Services- CCN
- 781936
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Feb 24, 2020
- Last certification
- Feb 24, 2020
- Address
- 1221 E State St
Rockford, IL 61104
(312) 413-1261
NPI records for this facility (CCN to NPI Mapping) 1
-
dba UI Health Mile Square Health Center L. P. Johnson Rockford
- Federally Qualified Health Center (FQHC)
- Rockford, IL
- NPI 1306486022
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.