Organization
PROMISE HEALTHCARE NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HENRY (CEO)
(217) 403-5401
Entity
Organization
Contact information
Practice address
919 W KIRBY AVE, CHAMPAIGN, IL 61821-5121
(217) 356-5477
Mailing address
919 W KIRBY AVE, CHAMPAIGN, IL 61821-5121
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
06/03/2024
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