COMMUNITY HEALTH IMPROVEMENT CENTER (NPI# 1467784090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467784090 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH IMPROVEMENT CENTER |
| Other Organization Name | COMMUNITY HEALTH IMPROVEMENT CENTER HEALTH DEPT SATELLITE |
| Practice Address |
1221 East Condit Street Decatur IL 62521 |
| Mailing Address |
2905 North Main Street Decatur IL 62526 |
| Practice Telephone | 2174236988 |
| Mailing Telephone | 2178779117 |
| Mailing Fax Number | 2178773077 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2014-03-24 |
| Authorized Official Name | MS. TANYA ANDRICKS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2178779117 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH IMPROVEMENT CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Health Improvement Center Health Dept Satellite | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548763238 | Community Health Improvement Center | Clinic/Center | 1027 N Water, Decatur, IL 62523 | 2018-03-09 |
| 1831635770 | Community Health Improvement Center | Clinic/Center | 1027 N Water St, Decatur, IL 62523-1022 | 2017-01-17 |
| 1235455130 | Community Health Improvement Center | Clinic/Center | 700 Broadway Avenue East, Suite 39, Mattoon, IL 61938-4662 | 2010-04-16 |
| 1083884852 | Community Health Improvement Center | Clinic/Center | 243 West Cerro Gordo Street, Decatur, IL 62526 | 2008-03-07 |
| 1023083227 | Community Health Improvement Center | Clinic/Center | 1002 South Race, Urbana, IL 61801-4449 | 2006-02-21 |
| 1992770192 | Community Health Improvement Center | Clinic/Center | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2006-02-21 |
| 1518384213 | Community Health Improvement Center | Clinic/Center | 2300 N Edward St, Decatur, IL 62526-4163 | 2014-03-20 |
| 1770836991 | Community Health Improvement Center | Social Worker | 2905 N Main St, Decatur, IL 62526-4274 | 2012-10-25 |
| 1164778031 | Community Health Improvement Center | Clinic/Center | 151 N Main St, Decatur, IL 62523-1206 | 2012-07-30 |
| 1194794917 | Community Health Improvement Center | Clinic/Center | 320 E Central Ave, Decatur, IL 62521-4665 | 2006-03-15 |
| Street Address |
1221 EAST CONDIT STREET |
| City | DECATUR |
| State | IL |
| Zip Code | 62521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| 1275781593 | Deborah Deloney | Speech-Language Pathologist | Fairhaven Christian Home, 1790 South Fairview, Decatur, IL 62521 | 2008-08-28 |
| Find all providers in zip 62521 | ||||
| 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 |
|---|---|---|---|---|
| 1548763238 | Community Health Improvement Center | Clinic/Center | 1027 N Water, Decatur, IL 62523 | 2018-03-09 |
| 1831635770 | Community Health Improvement Center | Clinic/Center | 1027 N Water St, Decatur, IL 62523-1022 | 2017-01-17 |
| 1083884852 | Community Health Improvement Center | Clinic/Center | 243 West Cerro Gordo Street, Decatur, IL 62526 | 2008-03-07 |
| 1790821023 | Oakhurst Medical Centers, Inc. | Clinic/Center | 1760 Candler Rd, Decatur, GA 30032-3254 | 2007-01-30 |
| 1609948306 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 1304 13th Avenue S.e., Suite F, Decatur, AL 35601 | 2006-11-15 |
| 1407376338 | Board of Trustees of Southern Illinois University | Clinic/Center | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2017-06-21 |
| 1053769273 | Recovery Consultants of Atlanta, Inc. | Clinic/Center | 4229 Snapfinger Woods Dr, Decatur, GA 30035-3440 | 2016-05-27 |
| 1114393543 | Saint Joseph's Mercy Care Services Inc. | Clinic/Center | 3110 Clifton Springs Rd, Suite B, Decatur, GA 30034-4600 | 2015-08-20 |
| 1861893216 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 445 Winn Way, Decatur, GA 30030-1707 | 2014-09-04 |
| 1518384213 | Community Health Improvement Center | Clinic/Center | 2300 N Edward St, Decatur, IL 62526-4163 | 2014-03-20 |
| Find all providers in DECATUR | ||||
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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.