NPIMap

Organization Active NPI

Greater Elgin Family Care Center

Doing business as Prairieview Elementary

  • Federally Qualified Health Center (FQHC)
  • Bartlett, IL
National Provider Identifier
1679024640
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREATER ELGIN FAMILY CARE CENTER
Doing business as
Prairieview Elementary
Practice address
285 Mayflower LN
Bartlett, IL 60103-2033
Phone
(847) 608-6001
Fax
(847) 841-6739
NPI assigned
Oct 14, 2016
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Jason Carey, CPA
Title
Cfo
Phone
(847) 608-6053

Specialties & licenses 1

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

Addresses

Primary practice location

285 Mayflower LN
Bartlett, IL 60103-2033

Mailing address

370 Summit St
Elgin, IL 60120-3843
Phone (847) 608-6001

Other names 1

  • PRAIRIEVIEW ELEMENTARY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greate Elgin Family Care Center85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

285 Mayflower Ln
Bartlett, IL 60103

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1679024640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203843",
            "telephone_number": "847-608-6001",
            "fax_number": "847-841-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MAYFLOWER LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601032033",
            "telephone_number": "847-608-6001",
            "fax_number": "847-841-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ELGIN FAMILY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-608-6053",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRAIRIEVIEW ELEMENTARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.