| NPI | 1164713129 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2011-04-26 |
| Last Updated | 2011-04-26 |
| Authorized Official | Gabriela Norena Patient Account Supervisor Phone: 3124327444 |
| Mailing Address | 1701 W Superior St Chicago, IL 60622-5646 United States Phone: (312) 666-3494 | Fax: (312) 666-0610 📍 View Map |
| Primary Practice Address | 5110 N Damen Ave Chicago, IL 60625-1317 United States Phone: (312) 666-3494 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | IL | 1616827 | Blue Cross Blue Shield |
| Other (non-Medicare) | IL | 748480 | medicare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | IL | 261QF0400X |
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About NPI 1164713129
Erie Family Health Center Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1164713129. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Chicago, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-04-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164713129?
NPI 1164713129 belongs to Erie Family Health Center Inc., a Clinic/Center, Federally Qualified Health Center (FQHC) in Chicago, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164713129 active?
The current status of NPI 1164713129 in the NPPES registry is Active. The record was last updated on 2011-04-26.
What specialty is NPI 1164713129?
NPI 1164713129 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164713129?
You can verify NPI 1164713129 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164713129?
The primary practice address on file for NPI 1164713129 is 5110 N Damen Ave, Chicago, IL 60625-1317. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164713129 issued?
NPI 1164713129 was first issued (enumerated) on 2011-04-26. The NPPES record was last updated on 2011-04-26.
Practice Location Map
Erie Family Health Center Inc. is located at 5110 N Damen Ave, Chicago, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Erie Family Health Center Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164713129. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Federally Qualified Health Center (FQHC) | 261QF0400X | IL |