Organization · Type 2 NPI

Promise Healthcare at the Community Resource Center

Federally Qualified Health Center (FQHC) · Urbana, IL

NPI number 1174932586 Active

Practice location

1400 W Park St, Building 3
Urbana, IL 61801

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 1174932586

Promise Healthcare at the Community Resource Center's National Provider Identifier is 1174932586, issued on Aug 11, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Urbana, IL. The record was last updated on Jun 3, 2024.