| Christian Community Health Center | |
|
2320 Thornton Lansing Rd Lansing IL 60438-2116 | |
| (773) 233-4100 | |
| (773) 233-4055 |
| Full Name | Christian Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2320 Thornton Lansing Rd, Lansing, Illinois |
| Authorized Official Name and Position | Sanara Leake (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 7732334100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Community Health Center Po Box 288080 Chicago IL 60628-8080 Ph: (773) 233-4100 | Christian Community Health Center 2320 Thornton Lansing Rd Lansing IL 60438-2116 Ph: (773) 233-4100 |
| NPI Number | 1750619680 |
|---|---|
| Provider Enumeration Date | 12/04/2009 |
| Last Update Date | 12/29/2022 |
| Medicare PECOS PAC ID | 4284533183 |
|---|---|
| Medicare Enrollment ID | O20230727003252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750619680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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