Access Community Health Network

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ACCESS COMMUNITY HEALTH NETWORK

Practice address

8234 S Ashland Ave
Chicago, IL 60620-4625

Phone

(773) 874-1400

NPI assigned

Nov 2, 2006

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) 526-2051

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629156807. Details of each certification follow.

• CCN 141927 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 141927

Legal name

ACCESS COMMUNITY HEALTH NETWORK

Doing business as

AUBURN-GRESHAM FAMILY HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 20, 2003

Last certification

Feb 20, 2003

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 11, 1984 in IL

Enrollment address

8234 S Ashland Ave
Chicago, IL 60620-4625

Related CCNs

141867

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Bloomingdale, IL
  • NPI 1881773232

  Related provider number

  Provider of Services

Locations

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 4

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.

• Lisa Marie Oldham, M.D.

  • Gynecology Physician
  • Chicago, IL
  • NPI 1689636904
  Care Compare group NPD
• Linda Guzman-Kurani, APN, CPNP

  • Pediatric Nurse Practitioner
  • Chicago, IL
  • NPI 1780051300
  NPD
• Nardeen Morkos, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1891306577
  NPD
• Sylvia Moscoso, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1689649105
  NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1629156807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W FULTON",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611262",
            "telephone_number": "312-526-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8234 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204625",
            "telephone_number": "773-874-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS COMMUNITY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-526-2051"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Community Health Network
• Access Community Health Network
• Access Community Health Network
• Access Community Health Network
• Access Community Health Network (Kedzie Family Healthcenter)
• Access Community Health Network
• Access Community Health Network
• Access Community Health Network
• Access Community Health Network
• Access Community Health Network

• Federally Qualified Health Center (FQHC) in Chicago, IL
• Providers in Chicago, 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 22, 2017; 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.