NPIMap

Organization Active NPI

Community Health Improvement Center

Doing business as Crossing Healthcare

  • Federally Qualified Health Center (FQHC)
  • Decatur, IL
National Provider Identifier
1194794917
Registry record updated Oct 16, 2025
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
Doing business as
Crossing Healthcare
Practice address
320 E Central Ave
Decatur, IL 62521-4665
Phone
(217) 877-9117
Fax
(217) 330-8770
NPI assigned
Mar 15, 2006
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Lois Tanner
Title
Cfo
Phone
(217) 877-9117

Specialties & licenses 1

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

Addresses

Primary practice location

320 E Central Ave
Decatur, IL 62521-4665

Mailing address

320 E Central Ave
Decatur, IL 62521-4665
Phone (217) 877-9117

Other identifiers 1

IdentifierTypeStateIssuer
300961830001MedicaidIL

Other names 1

  • Crossing Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

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
O20050126000270 IL Part A Provider - Federally Qualified Health Center (FQHC) 4385625342 Practice locations: Decatur, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194794917. Details of each certification follow.

Federally qualified health center certification: CCN 141830

Legal name
COMMUNITY HEALTH IMPROVEMENT CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Apr 7, 1972 in IL
Enrollment address
320 E Central Ave
Decatur, IL 62521-4665

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
April L Ingram Individual Corporate OfficerBoard Vice President Jul 1, 2013
Michael R Heneghan Individual Corporate OfficerBoard Treasurer Jan 4, 2011
Tanya R Andricks Individual Corporate OfficerExecutive Director/Ceo Sep 9, 2013
Corporate DirectorExecutive Director/Ceo Sep 9, 2013
W-2 Managing EmployeeExecutive Director/Ceo Apr 7, 2015
Operational/Managerial ControlExecutive Director/Ceo Sep 13, 2013
Azark David Cobbs Individual Corporate OfficerBoard Member Jul 1, 2013
Robert T Crawford Individual Corporate OfficerBoard Member Jul 1, 2013
Charles R Ellington Individual Corporate OfficerBoard Member Jan 4, 2011

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1194794917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E CENTRAL AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625214665",
            "telephone_number": "217-877-9117",
            "fax_number": "217-330-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E CENTRAL AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625214665",
            "telephone_number": "217-877-9117",
            "fax_number": "217-330-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH IMPROVEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "217-877-9117"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300961830001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossing Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.