Organization · Type 2 NPI
Promise Healthcare NFP
Federally Qualified Health Center (FQHC) · Rantoul, IL
NPI number
1629846928
Active
Practice location
424 E Wabash Ave
Rantoul, IL 61866-3013
Mailing address
819 Bloomington Rd
Champaign, IL 61820-2101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Rantoul
About NPI 1629846928
Promise Healthcare NFP's National Provider Identifier is 1629846928, issued on Dec 15, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Rantoul, IL. The record was last updated on Jun 3, 2024.