NPIMap

Organization Active NPI

Heartland Alliance Health

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
National Provider Identifier
1427829944
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEARTLAND ALLIANCE HEALTH
Practice address
4009 N Broadway St
Chicago, IL 60613-2110
Phone
(773) 275-2586
Fax
(773) 275-3689
NPI assigned
Jan 12, 2024
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Jimmy Valentin
Title
Sr. Dir Health Information Systems
Phone
(773) 751-4129

Specialties & licenses 1

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

Addresses

Primary practice location

4009 N Broadway St
Chicago, IL 60613-2110

Mailing address

4750 N Sheridan Rd Ste 449
Chicago, IL 60640-5078
Phone (773) 751-4129

National Provider Directory

National Provider Directory
Tax ID family
Chicago Health Outreach14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1427829944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 N SHERIDAN RD STE 449",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405078",
            "telephone_number": "773-751-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132110",
            "telephone_number": "773-275-2586",
            "fax_number": "773-275-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ALLIANCE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "SR. DIR HEALTH INFORMATION SYSTEMS",
        "authorized_official_telephone_number": "773-751-4129"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 12, 2024; 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.