COMMUNITY HEALTH IMPROVEMENT CENTER (NPI# 1831635770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831635770 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH IMPROVEMENT CENTER |
Other Organization Name | CROSSING HEALTHCARE ON WATER ST |
Practice Address |
1027 N Water St Decatur IL 62523-1022 |
Mailing Address |
320 E Central Ave Decatur IL 62521-4665 |
Practice Telephone | 2173305676 |
Practice Fax Number | 2173305992 |
Mailing Telephone | 2178779117 |
Mailing Fax Number | 2173308770 |
Enumeration Date | 2017-01-17 |
Last Update Date | 2017-02-10 |
Authorized Official Name | MS. TANYA ANDRICKS (EXECUTIVE DIRECTOR/CEO) |
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 |
---|---|
Crossing Healthcare on Water St | 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 |
1235455130 | Community Health Improvement Center | Clinic/Center | 700 Broadway Avenue East, Suite 39, Mattoon, IL 61938-4662 | 2010-04-16 |
1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
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 |
1027 N WATER ST |
City | DECATUR |
State | IL |
Zip Code | 62523-1022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548763238 | Community Health Improvement Center | Clinic/Center | 1027 N Water, Decatur, IL 62523 | 2018-03-09 |
1093091597 | Leesa K Reed | Social Worker | 151 N. Main St., Heritage Behavioral Health, Decatur, IL 62523 | 2011-10-27 |
1407001357 | Pamela Sue Waterman | Counselor | 720 E. Wood St., Decatur, IL 62523 | 2008-11-19 |
1639231731 | Heritage Behavioral Health Center Inc. | Clinic/Center | 151 N Main Street, Decatur, IL 62523 | 2006-12-14 |
1669561080 | Diane S Pleasant | Counselor | 335 E Wood St Ste B, Decatur, IL 62523 | 2006-10-12 |
1376642470 | Gudrun Birgitta Armentrout | Marriage & Family Therapist | 247 West Prairie, Catholics Charities, Decatur, IL 62523 | 2006-09-22 |
1871117887 | Restore Wellness Counseling LLC | Social Worker | 106 North Main Street, Decatur, IL 62523 | 2020-06-04 |
1275004186 | Stephanie Maurer | Physician Assistant | 320 Central Ave, Decatur, IL 62523 | 2018-12-17 |
1174049209 | Patricia Shannon | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523 | 2017-08-21 |
1669673620 | Decatur Public School Dist. #61 | Local Education Agency (LEA) | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2007-05-29 |
Find all providers in zip 62523 |
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 |
1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
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.