| Access Community Health Network | |
|
5159 S Ashland Ave Chicago IL 60609-4931 | |
| (773) 434-9216 | |
| (773) 434-2670 |
| Full Name | Access Community Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 5159 S Ashland Ave, Chicago, Illinois |
| Authorized Official Name and Position | Donna Thompson (CEO) |
| Authorized Official Contact | 3125262051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Community Health Network 600 W Fulton Suite 200 Chicago IL 60661-1262 Ph: (312) 526-2051 | Access Community Health Network 5159 S Ashland Ave Chicago IL 60609-4931 Ph: (773) 434-9216 |
| NPI Number | 1043398217 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 12/10/2018 |
| Medicare PECOS PAC ID | 9537076112 |
|---|---|
| Medicare Enrollment ID | O20101119000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043398217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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