NPIMap

Organization Active NPI

Whiteside County Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Sterling, IL
National Provider Identifier
1821744194
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WHITESIDE COUNTY COMMUNITY HEALTH CLINIC
Practice address
1608 4TH Ave
Sterling, IL 61081-1378
Phone
(815) 626-2230
NPI assigned
Feb 25, 2022
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Cheryl L Lee
Title
Pha/Ceo
Phone
(815) 626-2230

Specialties & licenses 1

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

Addresses

Primary practice location

1608 4TH Ave
Sterling, IL 61081-1378

Mailing address

1300 W 2ND St
Rock Falls, IL 61071-1005
Phone (815) 626-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821744194. Details of each certification follow.

  • CCN 781079 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 781079

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WHITESIDE COUNTY COMMUNITY HEALTH CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 26, 2022
Last certification
Oct 26, 2022
Ownership / control type
For profit – corporation
Facility address
1608 4TH Ave Sterling
Sterling, IL 61081

National Provider Directory

National Provider Directory

Locations

500 E 5th St
Rock Falls, IL 61071

1700 6th Ave
Sterling, IL 61081

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1821744194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 2ND ST",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610711005",
            "telephone_number": "815-626-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 4TH AVE",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811378",
            "telephone_number": "815-626-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESIDE COUNTY COMMUNITY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHA/CEO",
        "authorized_official_telephone_number": "815-626-2230"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

Verify at the official NPI Registry.