Primecare Fullerton

LBN: Primecare Community Health, Inc.
Primecare Fullerton is an health care organization with primary practice located at 3924 W Fullerton Ave , Chicago IL 60647-2228. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Primecare Community Health, Inc. can be contacted via phone (773) 276-2229, or through Moldovan, Joseph via phone (312) 491-5034.

Contact Information

Primary practice address
3924 W Fullerton Ave Chicago IL 60647-2228
Phone: (773) 276-2229
Fax: (773) 276-2190
Website:
Map and Directions
Authorized official contact:
Name: Moldovan, Joseph
Phone: (312) 491-5034

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1992851067
LBN Legal business name Primecare Community Health, Inc.
DBA Doing business as Primecare Fullerton
Authorized official Moldovan, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Oct 26th, 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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