Community Health Improvement Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COMMUNITY HEALTH IMPROVEMENT CENTER

Doing business as

Coles County Community Health Center

Practice address

700 Broadway Avenue East
Suite 39
Mattoon, IL 61938-4662

Phone

(217) 234-3091

Fax

(217) 234-3094

NPI assigned

Apr 16, 2010

Last updated

Nov 3, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY HEALTH IMPROVEMENT CENTERAs reported in NPPES

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

Authorized official

Name

Barbara B Dunn

Title

Chief Executive Officer

Phone

(217) 877-6111

Specialties & licenses 1

Addresses

Other names 1

• Coles County Community Health Center Doing business as

Part of

Comm Health Improv Ctr

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1235455130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 NORTH MAIN STREET",
            "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": "700 BROADWAY AVENUE EAST",
            "address_2": "SUITE 39",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384662",
            "telephone_number": "217-234-3091",
            "fax_number": "217-234-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH IMPROVEMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH IMPROVEMENT CENTER",
        "enumeration_date": "2010-04-16",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "217-877-6111"
    },
    "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": "Coles County Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coles County Mental Health Association Inc (LifeLinks)
• Coles County Mental Health Association, Inc. (Willow Point Counseling)
• Coles County Mental Health Association, Inc. (LifeLinks)
• Coles County Mental Health Association, Inc. (LifeLinks Mental Health)
• Jackie L Comerford, RD
• Megan C Compton, BS
• Terra Conat, APRN
• Danell Ann Condron, M.S., CCC-SLP
• Morgan Conley, BA
• Dana L. Conover, R.N.

• Federally Qualified Health Center (FQHC) in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Federally Qualified Health Center (FQHC) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.