Whiteside County Community Health Clinic

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WHITESIDE COUNTY COMMUNITY HEALTH CLINIC

Practice address

500 E 5TH St
Rock Falls, IL 61071-1804

Phone

(815) 626-2230

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Cheryl L Lee

Title

Pha/Ceo

Phone

(815) 626-2230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 781036

Legal name

WHITESIDE COUNTY COMMUNITY HEALTH CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 2, 2021

Last certification

Dec 2, 2021

Ownership / control type

For profit – corporation

Facility address

500 E 5TH St
Rock Falls, IL 61071

Locations

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1396379418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 2ND ST",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610711005",
            "telephone_number": "815-626-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 5TH ST",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610711804",
            "telephone_number": "815-626-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESIDE COUNTY COMMUNITY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHA/CEO",
        "authorized_official_telephone_number": "815-626-2230"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co. (Walgreens #2473)
• Walmart Inc.
• Robert Harold Walsh Jr.
• Jacob Lee Wertz, D.D.S.
• Bailey Bernice Wetzell, DC
• Whiteside County Community Health Clinic
• Whiteside County School Dist 301
• Susan Wilhelm, LCSW
• Monica M Wilwert, DDS
• Briena Wyckstandt, LCSW

• Federally Qualified Health Center (FQHC) in Rock Falls, IL
• Providers in Rock Falls, 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 Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.