Access Community Health Network
Organization Active NPI Federally Qualified Health Center (FQHC) · Chicago, IL
NPI 1124152657 · NPPES record last updated Jan 26, 2011
Key facts
- NPI
- 1124152657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ACCESS COMMUNITY HEALTH NETWORK
- Practice address
- 6130 S Wolcott Ave
Chicago, IL 60636-2100 - Phone
- (773) 434-3856
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Donna Thompson
- Title
- Ceo
- Phone
- (312) 526-2200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204000985 | IL | Part B Supplier - Clinic/Group Practice | 9537076112 |
Receives reassigned benefits from 512 practitioners This NPI is an additional NPI on the enrollment Practice locations: Chicago, IL; Chicago Heights, IL; Cicero, IL; Des Plaines, IL; Evanston, IL; Heights, IL; Melrose Park, IL; Summit, IL… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
6130 S Wolcott Ave
Chicago, IL 60636-2100
Mailing address
222 N Canal St
Chicago, IL 60606-1206
Phone (312) 526-2200
Other providers in Chicago, IL
- Access Community Health Network
- Access Community Health Network
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- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
All providers in Chicago, IL · Federally Qualified Health Center (FQHC) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.