Beloved Community Family Wellness Center

LBN: Beloved Community Family Wellness Center
Beloved Community Family Wellness Center is an health care organization with primary practice located at 6821 S Halsted St , Chicago IL 60621-1833. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Beloved Community Family Wellness Center can be contacted via phone (773) 651-3629, or through Johnson, Margie Neda via phone (773) 651-3828.

Contact Information

Primary practice address
6821 S Halsted St Chicago IL 60621-1833
Phone: (773) 651-3629
Fax: (773) 651-1599
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Margie Neda MS
Phone: (773) 651-3828

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 036113305 Illinois
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1144528167
LBN Legal business name Beloved Community Family Wellness Center
DBA Doing business as
Authorized official Johnson, Margie Neda MS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2011
Last updated Aug 24th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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