HOWARD BROWN HEALTH CENTER (NPI# 1154856870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154856870 |
Entity Type | Organization |
Organization Name | HOWARD BROWN HEALTH CENTER |
Other Organization Name | HOWARD BROWN HEALTH 63RD ST ORAL HEALTH SERVICES |
Practice Address |
641 W 63rd St Bsmt Chicago IL 60621-2032 |
Mailing Address |
4025 N Sheridan Rd Chicago IL 60613-2010 |
Practice Telephone | 7733881600 |
Mailing Telephone | 7733881600 |
Enumeration Date | 2017-05-01 |
Last Update Date | 2017-11-27 |
Authorized Official Name | JOANNA MRUZ (BILLING MANAGER) |
Authorized Official Telephone | 7733888991 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | Dental Providers | ||
N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Howard Brown Health 63rd St Oral Health Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427523125 | Howard Brown Health Center | Clinic/Center | 3533 W North Ave Ste 1, Chicago, IL 60647-7573 | 2018-10-09 |
1417473851 | Howard Brown Health Center | Clinic/Center | 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 | 2017-08-17 |
1912382227 | Howard Brown Health Center | Clinic/Center | 6500 N Clark St, Chicago, IL 60626-4002 | 2015-07-28 |
1699109546 | Howard Brown Health Center | Clinic/Center | 4009 N Broadway St, Chicago, IL 60613-2110 | 2013-08-28 |
1881913531 | Howard Brown Health Center | Community/Behavioral Health | 3245 N. Halsted, Chicago, IL 60657 | 2010-05-20 |
1205344603 | Howard Brown Health Center | Clinic/Center | 3948 N Sheridan Rd, Chicago, IL 60613-2935 | 2018-01-19 |
1740708858 | Howard Brown Health Center | Clinic/Center | 734 W 47th St, Chicago, IL 60609-4411 | 2017-09-08 |
1356876387 | Howard Brown Health Center | Clinic/Center | 5537 N Broadway St, Ste 101, Chicago, IL 60640-1405 | 2017-04-27 |
1710437991 | Howard Brown Health Center | Clinic/Center | 1525 E 55th St, Chicago, IL 60615-5512 | 2016-10-11 |
1255791331 | Howard Brown Health Center | Clinic/Center | 641 W 63rd St, Chicago, IL 60621-2032 | 2016-03-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Howard Brown Health Center | 4025 N. Sheridan Road, Chicago, IL 60613 |
Street Address |
641 W 63RD ST BSMT |
City | CHICAGO |
State | IL |
Zip Code | 60621-2032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
Find all providers in zip 60621 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
1114498540 | Pcc Community Wellness Center | Clinic/Center | 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 | 2018-12-11 |
1427523125 | Howard Brown Health Center | Clinic/Center | 3533 W North Ave Ste 1, Chicago, IL 60647-7573 | 2018-10-09 |
1336626936 | Heartland International Health Center | Clinic/Center | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2018-07-26 |
1760975304 | Inner-city Muslim Action Network | Clinic/Center | 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 | 2018-06-08 |
1417473851 | Howard Brown Health Center | Clinic/Center | 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 | 2017-08-17 |
1487193181 | Mile Square Englewood/cook Satellite Health and Wellness Center | Clinic/Center | 8150 S Bishop St, Chicago, IL 60620-3854 | 2017-02-15 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.