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Promise Healthcare Nfp
Federally Qualified Health Center (FQHC) in Champaign, Illinois
NPI 1629828439

Promise Healthcare Nfp is a Federally Qualified Health Center (FQHC) based in Champaign, IL and is specialized in Federally Qualified Health Center (FQHC). Promise Healthcare Nfp practices in Champaign, IL. The NPI Number for Promise Healthcare Nfp is 1629828439 and holds a License No. (Illinois).

The current practice location address for Promise Healthcare Nfp is 919 W Kirby Ave, Champaign, IL and can be reached out via phone at 217-356-5477.

Location: 919 W Kirby Ave, Champaign, IL, 61821-5121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629828439
Provider Name
Promise Healthcare Nfp
Credential
Provider Entity Type
Organization
Address
919 W Kirby Ave, Champaign, IL, 61821-5121
Phone Number
217-356-5477
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
919 W Kirby Ave
City
Champaign
State
Illinois
Zip
61821-5121
Phone Number
217-356-5477
Fax Number
person
Provider Business Mailing Address Details
Address
919 W Kirby Ave
City
Champaign
State
Illinois
Zip
61821-5121
Phone Number
217-356-5477
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...
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