Organization · Type 2 NPI

Promise Healthcare NFP

Federally Qualified Health Center (FQHC) · Champaign, IL

NPI number 1043936438 Active

Practice location

821 S Neil St
Champaign, IL 61820-5205

Call (217) 356-1558 Map

Mailing address

819 Bloomington Rd
Champaign, IL 61820-2101

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Primary Care Clinic/Center 261QP2300XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1043936438

Promise Healthcare NFP's National Provider Identifier is 1043936438, issued on Oct 17, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Champaign, IL. The record was last updated on Oct 17, 2022.