Promise Healthcare Nfp

LBN: Promise Healthcare Nfp
Promise Healthcare Nfp is an health care organization with primary practice located at 919 W Kirby Ave , Champaign IL 61821-5121. 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. Promise Healthcare Nfp can be contacted via phone (217) 356-5477, or through Henry, Jennifer via phone (217) 403-5401.

Contact Information

Primary practice address
919 W Kirby Ave Champaign IL 61821-5121
Phone: (217) 356-5477
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henry, Jennifer
Phone: (217) 403-5401

Health care specialties

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

Profile Details

NPI number 1629828439
LBN Legal business name Promise Healthcare Nfp
DBA Doing business as
Authorized official Henry, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2024
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.

Request for update

Popular Providers