| Promise Healthcare At The Usbhc | |
|
1002 S Race St Urbana IL 61801-4957 | |
| (217) 239-4220 | |
| Not Available |
| Full Name | Promise Healthcare At The Usbhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1002 S Race St, Urbana, Illinois |
| Authorized Official Name and Position | Nancy Greenwalt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2174035401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promise Healthcare At The Usbhc 819 Bloomington Rd Champaign IL 61820-2101 Ph: (217) 403-5473 | Promise Healthcare At The Usbhc 1002 S Race St Urbana IL 61801-4957 Ph: (217) 239-4220 |
| NPI Number | 1952894180 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 06/03/2024 |
| Medicare PECOS PAC ID | 6103071345 |
|---|---|
| Medicare Enrollment ID | O20231121000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952894180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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