Organization · Type 2 NPI

Promise Healthcare NFP

Federally Qualified Health Center (FQHC) · Champaign, IL

NPI number 1578821005 Active

Practice location

819 Bloomington Rd
Champaign, IL 61820

Call (217) 356-1558 Map

Other practice locations

  • 424 E Wabash, Rantoul, IL 61866-3013 · (217) 356-1558
  • 919 W Kirby Ave, Champaign, IL 61821-5121 · (217) 356-1558

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 1578821005

Promise Healthcare NFP's National Provider Identifier is 1578821005, issued on May 3, 2012. 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 Jun 3, 2024.