Organization · Type 2 NPI
Community Health Improvement Center
Federally Qualified Health Center (FQHC) · Decatur, IL
NPI number
1083884852
Active
Practice location
243 West Cerro Gordo Street
Decatur, IL 62526
Mailing address
2905 North Main
Decatur, IL 62526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1083884852
Community Health Improvement Center's National Provider Identifier is 1083884852, issued on Mar 7, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Decatur, IL. The record was last updated on Mar 24, 2014.