Frances Nelson Dental Center

LBN: Promise Healthcare Nfp
Frances Nelson Dental Center is an health care organization with primary practice located at 819 Bloomington Rd , Champaign IL 61820. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Promise Healthcare Nfp can be contacted via phone (217) 356-1558, or through Henry, Jennifer via phone (217) 403-5401.

Contact Information

Primary practice address
819 Bloomington Rd Champaign IL 61820
Phone: (217) 356-1558
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henry, Jennifer
Phone: (217) 403-5401

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1407199391
LBN Legal business name Promise Healthcare Nfp
DBA Doing business as Frances Nelson Dental Center
Authorized official Henry, Jennifer
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 29th, 2013
Last updated Jun 3rd, 2024 - about last year

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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