Organization Active NPI

Community Health Center, Inc

  • Rural Health Clinic/Center
  • New Berlin, IL
National Provider Identifier
1346329943
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
NONE KNOWN Issued in NU
Legal business name
COMMUNITY HEALTH CENTER, INC
Practice address
111 N. Main
New Berlin, IL 62670-0378
Phone
(217) 488-2201
Fax
(217) 488-3508
NPI assigned
Nov 3, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Ruth J. Roberts
Title
President, Board of Directors
Phone
(217) 488-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NONE KNOWN NU Primary

Addresses

Primary practice location

111 N. Main
New Berlin, IL 62670-0378

Mailing address

P.O. Box 378
111 N. Main
New Berlin, IL 62670-0378
Phone (217) 488-2201

National Provider Directory

National Provider Directory

Locations

111 N Main St
New Berlin, IL 62670
Phone (217) 488-2201

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1346329943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 378",
            "address_2": "111 N. MAIN",
            "city": "NEW BERLIN",
            "state": "IL",
            "postal_code": "626700378",
            "telephone_number": "217-488-2201",
            "fax_number": "217-488-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N. MAIN",
            "city": "NEW BERLIN",
            "state": "IL",
            "postal_code": "626700378",
            "telephone_number": "217-488-2201",
            "fax_number": "217-488-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "217-488-2201",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": "NONE KNOWN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.