Access Community Health Network

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ACCESS COMMUNITY HEALTH NETWORK

Practice address

121 S Wilke Rd
Suite 310
Arlington Heights, IL 60005-1533

Phone

(847) 259-3728

NPI assigned

Sep 9, 2009

Last updated

Nov 18, 2010By the provider in NPPES

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487987459. Details of each certification follow.

• CCN 141124 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 141124

Legal name

ACCESS ARLINGTON HEIGHTS FAMILY HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 26, 2010

Last certification

Jul 26, 2010

Ownership / control type

For profit – corporation

Facility address

121 South Wilke Road, Suite 310
Arlington Heights, IL 60005

Related CCNs

141867

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paula Cavens, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1528084779
  NPD
• Ivy Shenell Jones, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington Heights, IL
  • NPI 1568196137
  NPD
• Poornima Narayen, MD

  • Pediatrics Physician
  • Des Plaines, IL
  • NPI 1487787867
  NPD
• Theresa Lindsay Rose, D.O.

  • Obstetrics & Gynecology Physician
  • Lake Forest, IL
  • NPI 1174732770
  NPD
• Shivang Manoj Shah, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1316444524
  NPD
• Aileen Gomez-Torres, MD

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1922119957
  NPD
• Jennifer Jean Baptiste

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1023414083
  NPD

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1487987459",
    "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": "121 S WILKE RD",
            "address_2": "SUITE 310",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051533",
            "telephone_number": "847-259-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS COMMUNITY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2010-11-18",
        "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": []
}

• Absolute Medical & Diagnostic Center, SC (Absolute Health Clinic)
• Absolutevision Inc. (AssureVision)
• Mohammad Abtahi, MD
• Amannie Yacoub Abu-Kweik, DMD
• Access Community Health Network (ACCESSRx)
• Access Community Health Network
• Access Community Health Network
• Accucare Rehabilitation Center PC
• Accumed Center, S.C.
• Accuquest Hearing Center, LLC.

• Federally Qualified Health Center (FQHC) in Arlington Heights, IL
• Providers in Arlington Heights, 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 Nov 18, 2010; 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.