Organization · Type 2 NPI
Beloved Community Family Wellness Center
Federally Qualified Health Center (FQHC) · Blue Island, IL
NPI number
1114278009
Active
Practice location
2338 New St
Blue Island, IL 60406-2402
Fax (708) 577-5064
Mailing address
6821 S Halsted St
Chicago, IL 60621-1833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center | 261QC1500X | BL9194919 (IL) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
Other federally qualified health center (fqhc) providers in Blue Island
About NPI 1114278009
Beloved Community Family Wellness Center's National Provider Identifier is 1114278009, issued on Oct 2, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Blue Island, IL. The record was last updated on Mar 6, 2024.