Organization
PROMISE HEALTHCARE AT THE COMMUNITY RESOURCE CENTER
Active
Parent organization
PROMISE HEALTHCARE NFP
Other names
Frances Nelson Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROMISE HEALTHCARE NFP
Authorized official
JENNIFER HENRY (CEO)
(217) 403-5401
Entity
Organization
Contact information
Practice address
1400 W PARK ST, BUILDING 3, URBANA, IL 61801
(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
08/11/2014
Last updated
06/03/2024
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