Organization
PROMISE HEALTHCARE NFP
Active
Organization
PROMISE HEALTHCARE NFP
Active
Other names
Frances Nelson Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HENRY (CEO)
(217) 359-1558
Entity
Organization
Contact information
Practice address
801 N WALNUT ST, CHAMPAIGN, IL 61820
(217) 356-1558
Mailing address
819 BLOOMINGTON RD, CHAMPAIGN, IL 61820-2101
(217) 356-1558
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/03/2014
Last updated
06/03/2024
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