Organization · Type 2 NPI
Community Health Improvement Center
Federally Qualified Health Center (FQHC) · Mattoon, IL
NPI number
1235455130
Active
Practice location
700 Broadway Avenue East, Suite 39
Mattoon, IL 61938-4662
Fax (217) 234-3094
Mailing address
2905 North Main Street
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...
Other federally qualified health center (fqhc) providers in Mattoon
About NPI 1235455130
Community Health Improvement Center's National Provider Identifier is 1235455130, issued on Apr 16, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mattoon, IL. The record was last updated on Nov 3, 2011.