NPIMap

Organization Active NPI

Community Health Improvement Center

  • Federally Qualified Health Center (FQHC)
  • Urbana, IL
National Provider Identifier
1023083227
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH IMPROVEMENT CENTER
Practice address
1002 South Race
Urbana, IL 61801-4449
Phone
(217) 239-4220
NPI assigned
Feb 21, 2006
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH IMPROVEMENT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Tanya Andricks
Title
Executive Director
Phone
(217) 877-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1002 South Race
Urbana, IL 61801-4449

Mailing address

2905 North Main St
Decatur, IL 62526
Phone (217) 877-9117

Other names 1

  • Urbana School Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526000316 IL Part B Supplier - Clinic/Group Practice 4385625342 Receives reassigned benefits from 34 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Decatur, IL

Federally qualified health center certification: CCN 141989

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
URBANA SCHOOL HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 1, 2004
Last certification
Dec 1, 2004
Ownership / control type
For profit – corporation
Facility address
1002 S South Race
Urbana, IL 61801
Related CCNs
141830

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Comm Health Improv Ctr

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1023083227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 NORTH MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-877-9117",
            "fax_number": "217-877-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 SOUTH RACE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618014449",
            "telephone_number": "217-239-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH IMPROVEMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH IMPROVEMENT CENTER",
        "enumeration_date": "2006-02-21",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "ANDRICKS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-877-6111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urbana School Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.