CHRISTIAN COMMUNITY HEALTH CENTER (NPI# 1790888238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790888238 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN COMMUNITY HEALTH CENTER |
| Other Organization Name | ROSELAND CHRISTIAN HEALTH MINISTRIES |
| Practice Address |
9718 S Halsted Chicago IL 60628 |
| Mailing Address |
Po Box 288080 9718 S Halsted Chicago IL 60628 |
| Practice Telephone | 7732334100 |
| Practice Fax Number | 7732338542 |
| Mailing Telephone | 7732334100 |
| Mailing Fax Number | 7732338542 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | MR. KENNETH A. BURNETT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7732334100 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Roseland Christian Health Ministries | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750619680 | Christian Community Health Center | Clinic/Center | 2320 Thornton Lansing Rd, Lansing, IL 60438-2116 | 2009-12-04 |
| 1750757449 | Christian Community Health Center | Clinic/Center | 9718 S Halsted St, Chicago, IL 60628-1007 | 2015-08-17 |
| 1043570310 | Christian Community Health Center | Internal Medicine | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2012-05-21 |
| 1306106679 | Christian Community Health Center | Obstetrics & Gynecology | 9718 S Halsted St, Chicago, IL 60628-1007 | 2012-05-21 |
| 1174853410 | Christian Community Health Center | Clinic/Center | 16405 Frontage Rd, Oak Forest, IL 60452-4611 | 2010-01-08 |
| 1396078374 | Christian Community Health Center | Clinic/Center | 1701 W Monterey Ave, Chicago, IL 60643-4257 | 2009-09-09 |
| 1902064934 | Christian Community Health Center | Clinic/Center | 9718 S Halsted St, Chicago, IL 60628-1007 | 2008-05-27 |
| 1477726453 | Christian Community Health Center | Clinic/Center | 9718 S Halsted St, Chicago, IL 60628-1007 | 2008-04-10 |
| 1780857219 | Christian Community Health Center | Clinic/Center | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2008-04-04 |
| 1912170457 | Christian Community Health Center | Clinic/Center | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2008-04-04 |
| Street Address |
9718 S HALSTED |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306954532 | Deborah D Killingsworth | Family Medicine | 9718 S Halsted, Chicago, IL 60628 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| 1114498540 | Pcc Community Wellness Center | Clinic/Center | 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 | 2018-12-11 |
| 1427523125 | Howard Brown Health Center | Clinic/Center | 3533 W North Ave Ste 1, Chicago, IL 60647-7573 | 2018-10-09 |
| 1336626936 | Heartland International Health Center | Clinic/Center | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2018-07-26 |
| 1760975304 | Inner-city Muslim Action Network | Clinic/Center | 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 | 2018-06-08 |
| 1417473851 | Howard Brown Health Center | Clinic/Center | 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 | 2017-08-17 |
| 1487193181 | Mile Square Englewood/cook Satellite Health and Wellness Center | Clinic/Center | 8150 S Bishop St, Chicago, IL 60620-3854 | 2017-02-15 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.