NPIMap

Organization Active NPI

Friend Family Health Center Inc

Doing business as Friend Health - 51st

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
National Provider Identifier
1245842863
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FRIEND FAMILY HEALTH CENTER INC
Doing business as
Friend Health - 51st
Practice address
340 E 51St St
Chicago, IL 60615-3509
Phone
(773) 702-0660
Fax
(773) 834-3756
NPI assigned
Aug 17, 2020
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Angel McReynolds
Title
Dir. of Provider Services
Phone
(773) 795-2260

Specialties & licenses 1

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

Addresses

Primary practice location

340 E 51St St
Chicago, IL 60615-3509

Mailing address

PO Box 19351
Chicago, IL 60619-0266
Phone (772) 702-0660

Other names 1

  • Friend Health - 51st Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001242 IL Part B Supplier - Clinic/Group Practice 2062494552 Receives reassigned benefits from 129 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Tax ID family
Friend Family Health Center Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1245842863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606190266",
            "telephone_number": "772-702-0660",
            "fax_number": "773-834-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 51ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153509",
            "telephone_number": "773-702-0660",
            "fax_number": "773-834-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIEND FAMILY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "MCREYNOLDS",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "DIR.  OF PROVIDER SERVICES",
        "authorized_official_telephone_number": "773-795-2260"
    },
    "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": "Friend Health - 51st",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.