Crossing Healthcare

LBN: Community Health Improvement Center
Crossing Healthcare is an health care organization with primary practice located at 320 E Central Ave , Decatur IL 62521-4665. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Community Health Improvement Center can be contacted via phone (217) 877-9117, or through Andricks, Tanya R via phone (217) 877-9117.

Contact Information

Primary practice address
320 E Central Ave Decatur IL 62521-4665
Phone: (217) 877-9117
Fax: (217) 330-8770
Website:
Map and Directions
Authorized official contact:
Name: Andricks, Tanya R
Phone: (217) 877-9117

Health care specialties

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

Profile Details

NPI number 1194794917
LBN Legal business name Community Health Improvement Center
DBA Doing business as Crossing Healthcare
Authorized official Andricks, Tanya R
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Dec 28th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194794917 NPPES
Illinois MEDICAID 300961830001

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