CHRISTIAN COMMUNITY HEALTH CENTER (NPI# 1780857219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780857219 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN COMMUNITY HEALTH CENTER |
| Other Organization Name | ROSELAND CHRISTIAN HEALTH MINISTRIES |
| Practice Address |
364 Torrence Ave Calumet City IL 60409-1902 |
| Mailing Address |
Po Box 288080 Chicago IL 60628-8080 |
| Practice Telephone | 7088689457 |
| Mailing Telephone | 7732334100 |
| Mailing Fax Number | 7732334055 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | MR. KENNETH A. BURNETT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7732334100 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ROSELAND CHRISTIAN HEALTH MINISTRIES | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750619680 | Christian Community Health Center | Clinic/Center | 2320 Thornton Lansing Rd, Lansing, IL 60438-2116 | 2009-12-04 |
| 1750757449 | Christian Community Health Center | Clinic/Center | 9718 S Halsted St, Chicago, IL 60628-1007 | 2015-08-17 |
| 1043570310 | Christian Community Health Center | Internal Medicine | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2012-05-21 |
| 1306106679 | Christian Community Health Center | Obstetrics & Gynecology | 9718 S Halsted St, Chicago, IL 60628-1007 | 2012-05-21 |
| 1174853410 | Christian Community Health Center | Clinic/Center | 16405 Frontage Rd, Oak Forest, IL 60452-4611 | 2010-01-08 |
| 1396078374 | Christian Community Health Center | Clinic/Center | 1701 W Monterey Ave, Chicago, IL 60643-4257 | 2009-09-09 |
| 1902064934 | Christian Community Health Center | Clinic/Center | 9718 S Halsted St, Chicago, IL 60628-1007 | 2008-05-27 |
| 1477726453 | Christian Community Health Center | Clinic/Center | 9718 S Halsted St, Chicago, IL 60628-1007 | 2008-04-10 |
| 1912170457 | Christian Community Health Center | Clinic/Center | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2008-04-04 |
| 1790888238 | Christian Community Health Center | Clinic/Center | 9718 S Halsted, Chicago, IL 60628 | 2006-09-07 |
| Street Address |
364 TORRENCE AVE |
| City | CALUMET CITY |
| State | IL |
| Zip Code | 60409-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356459549 | Theisha Y Perkins | Pediatrics | 364 Torrence Ave, Calumet City, IL 60409 | 2006-08-28 |
| 1699330811 | Sujithra Reprakash | Physician Assistant | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2019-05-02 |
| 1457869992 | Rachel O Ilesanmi | Nurse Practitioner | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2018-01-18 |
| 1043570310 | Christian Community Health Center | Internal Medicine | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159832 | Victory Pharmacy of Decatur Inc | Pharmacy | 1837 River Oaks Rd, Calumet City, IL 60409 | 2018-10-03 |
| 1801336961 | It's About Change Sober Living, Inc. | Community/Behavioral Health | 1604 Horbor St., Calumet City, IL 60409 | 2017-03-08 |
| 1750832986 | Jeffrey Mcneil | Social Worker | 660 Memorial Dr., Calumet City, IL 60409 | 2016-10-24 |
| 1578855219 | Cherechi V Onyenso | Nurse Practitioner | 1473 Ring Ring Road, Great Heights Family Medicine, Calumet City, IL 60409 | 2011-05-13 |
| 1205097607 | Michael Peter Weisberg | Ophthalmology | 1700 East West Road, Calumet City, IL 60409 | 2008-06-19 |
| 1861694333 | County of Cook | Local Education Agency (LEA) | 1255 Superior Ave, Calumet City, IL 60409 | 2007-06-05 |
| 1689875585 | Calumet City School District #155 | Local Education Agency (LEA) | Memorial Dr and Superior, Calumet City, IL 60409 | 2007-05-29 |
| 1932224185 | Micah K Swansey Sr. | Psychologist | 593 Burnham Avenue, Calumet City, IL 60409 | 2007-03-20 |
| 1184768210 | Beverly Williamson | Optometrist | 200 River Oaks Drive, Calumet City, IL 60409 | 2007-02-20 |
| 1205978863 | Dillons Dental Services LLC | Dentist | 2000 E 159th St, Calumet City, IL 60409 | 2007-02-12 |
| Find all providers in zip 60409 | ||||
| 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 |
|---|---|---|---|---|
| 1336310523 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 602 Torrence Ave, Calumet City, IL 60409-3813 | 2008-03-17 |
| 1851626089 | Aunt Martha's Youth Service Center | Clinic/Center | 755 Pulaski Rd, Calumet City, IL 60409-4030 | 2009-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 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 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | CALUMET CITY |
| Zip Code | 60409 |
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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.