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Promise Healthcare Nfp
Primary Care Clinic/Center in Champaign, Illinois
NPI 1578821005

Promise Healthcare Nfp is a Primary Care Clinic/Center based in Champaign, IL and is specialized in Primary Care. Promise Healthcare Nfp practices in Champaign, IL. The NPI Number for Promise Healthcare Nfp is 1578821005 and holds a License No. (Illinois).

The current practice location address for Promise Healthcare Nfp is 819 Bloomington Rd, Champaign, IL and can be reached out via phone at 217-356-1558.

Location: 819 Bloomington Rd, Champaign, IL, 61820-2101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578821005
Provider Name
Promise Healthcare Nfp
Credential
Provider Entity Type
Organization
Address
819 Bloomington Rd, Champaign, IL, 61820-2101
Phone Number
217-356-1558
Fax Number
Provider Enumeration Date
05/03/2012
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
819 Bloomington Rd
City
Champaign
State
Illinois
Zip
61820
Phone Number
217-356-1558
Fax Number
person
Provider Business Mailing Address Details
Address
819 Bloomington Rd
City
Champaign
State
Illinois
Zip
61820
Phone Number
217-356-1558
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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