| Mchenry Community Health Center | |
|
3901 Mercy Dr. Mchenry IL 60050-3151 | |
| (844) 599-3700 | |
| Not Available |
| Full Name | Mchenry Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3901 Mercy Dr., Mchenry, Illinois |
| Authorized Official Name and Position | Jason Carey (CFO) |
| Authorized Official Contact | 8476086053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mchenry Community Health Center 370 Summit St Elgin IL 60120-3843 Ph: (844) 599-3700 | Mchenry Community Health Center 3901 Mercy Dr. Mchenry IL 60050-3151 Ph: (844) 599-3700 |
| NPI Number | 1295014116 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 05/27/2021 |
| Medicare PECOS PAC ID | 9931018769 |
|---|---|
| Medicare Enrollment ID | O20120910000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295014116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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