Organization
PROMISE HEALTHCARE NFP
Active
Parent organization
FRANCES NELSON HEALTH CENTER
Other names
Frances Nelson Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCES NELSON HEALTH CENTER
Authorized official
JENNIFER HENRY (CFO)
(217) 403-5401
Entity
Organization
Contact information
Practice address
819 BLOOMINGTON RD, 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
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/29/2013
Last updated
06/03/2024
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