NPIMap

Organization Active NPI

Greater Family Health

  • Federally Qualified Health Center (FQHC)
  • McHenry, IL
National Provider Identifier
1295014116
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREATER FAMILY HEALTH
Practice address
3901 Mercy Dr.
McHenry, IL 60050-3151
Phone
(844) 599-3700
NPI assigned
Aug 9, 2011
Organization subpart
Yes
Parent organization
GREATER FAMILY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Jason Carey
Title
Cfo
Phone
(847) 608-6053

Specialties & licenses 1

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

Addresses

Primary practice location

3901 Mercy Dr.
McHenry, IL 60050-3151

Mailing address

370 Summit St
Elgin, IL 60120-3843
Phone (844) 599-3700

Other names 1

  • McHenry Community 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
O20120910000207 IL Part A Provider - Federally Qualified Health Center (FQHC) 9931018769 Practice locations: McHenry, IL

Federally qualified health center certification: CCN 141176

Legal name
GREATER FAMILY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 12, 2012
Last certification
Sep 12, 2012
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Aug 28, 1998 in IL
Enrollment address
3901 Mercy Dr
McHenry, IL 60050-3151

Other NPIs with the same Medicare PAC ID 10

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

National Provider Directory

National Provider Directory
Tax ID family
Greter Elgin Family Care Center85 organizations share this tax ID, including this one
Part of
Greter Elgin Family Care Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3901 Mercy Dr
McHenry, IL 60050
Phone (815) 363-8800

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Corey Dixon Individual Corporate DirectorBoard Member Apr 13, 2015
Linda Drawhorn Individual Corporate DirectorBoard Member May 2, 2014
Craig Dodt Individual Corporate DirectorBoard Member Apr 14, 2014
Jason Carey Individual Corporate OfficerCfo Oct 11, 2011
W-2 Managing EmployeeCfo Oct 11, 2011
Beth Tze Individual Corporate DirectorBoard Member May 14, 2012

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1295014116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203843",
            "telephone_number": "844-599-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MERCY DR.",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503151",
            "telephone_number": "844-599-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER FAMILY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER FAMILY HEALTH",
        "enumeration_date": "2011-08-09",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-608-6053"
    },
    "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": "McHenry Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.