Organization
PRIMECARE COMMUNITY HEALTH, INC.
Active
Organization
PRIMECARE COMMUNITY HEALTH, INC.
Active
Other names
PrimeCare Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MOLDOVAN (CHIEF FINANCIAL OFFICER)
(312) 491-5034
Entity
Organization
Contact information
Practice address
1649 N PULASKI RD, CHICAGO, IL 60639-5207
(773) 278-6868
(773) 278-6922
Mailing address
2232 N CLYBOURN AVE FL 3, CHICAGO, IL 60614-3193
(312) 633-5841
(773) 269-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
10/26/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up