Active NPI
Access Community Health Network
- Federally Qualified Health Center (FQHC)
- Chicago, IL
National Provider Identifier
1447338652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- ACCESS COMMUNITY HEALTH NETWORK
- Practice address
- 5835 W North Ave
Chicago, IL 60639-4067 - Phone
- (773) 745-1200
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Thompson
- Title
- Ceo
- Phone
- (312) 526-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
5835 W North Ave
Chicago, IL 60639-4067
Mailing address
222 N Canal St
Chicago, IL 60606-1206
Phone (312) 526-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204000985 | IL | Part B Supplier - Clinic/Group Practice | 9537076112 |
Receives reassigned benefits from 512 practitioners This NPI is an additional NPI on the enrollment Practice locations: Chicago, IL; Chicago Heights, IL; Cicero, IL; Des Plaines, IL; Evanston, IL; Heights, IL; Melrose Park, IL; Summit, IL… |
National Provider Directory
National Provider DirectoryLocations
5835 W North Ave
Chicago, IL 60639
Phone (773) 745-1200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296000000000",
"number": "1447338652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N CANAL ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061206",
"telephone_number": "312-526-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606394067",
"telephone_number": "773-745-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESS COMMUNITY HEALTH NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2011-01-26",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "312-526-2200"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
- Access Community Health Network
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.