NPIMap

Organization Active NPI

Greater Elgin Family Care Center

Doing business as Creekside Elementary School

  • Federally Qualified Health Center (FQHC)
  • Elgin, IL
National Provider Identifier
1801346077
Registry record updated Oct 11, 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
Creekside Elementary School
Practice address
655 N Airlite St
Elgin, IL 60123-2683
Phone
(847) 608-6001
Fax
(847) 841-6739
NPI assigned
Oct 11, 2016
Last updated
Oct 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 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 Primary

Addresses

Primary practice location

655 N Airlite St
Elgin, IL 60123-2683

Mailing address

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

Other names 1

  • Creekside Elementary School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greater Elgin Famly Care Cener86 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

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

View all 23

Locations

655 N Airlite St
Elgin, IL 60123

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1801346077",
    "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": "655 N AIRLITE ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232683",
            "telephone_number": "847-608-6001",
            "fax_number": "847-841-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ELGIN FAMILY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.