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NPI Code Detail

MEDICARE: COMMUNITY HEALTH IMPROVEMENT CENTER

MEDICARE: COMMUNITY HEALTH IMPROVEMENT CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194794917
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH IMPROVEMENT CENTER
Provider Business Mailing Address
First Line : 320 E CENTRAL AVE
Second Line :
City : DECATUR
State : IL
Zip : 62521-4665
Country : US
Telephone Number : 217-877-9117
Fax Number : 217-330-8770
Provider Business Practice Location Address
First Line : 320 E CENTRAL AVE
Second Line :
City : DECATUR
State : IL
Zip : 62521-4665
Country : US
Telephone Number : 217-877-9117
Fax Number : 217-330-8770
Authorized Official
Title or Position : CFO
Name : LOIS TANNER
Credential :
Telephone Number : 217-877-9117
Provider Enumeration Date : 03/15/2006
Last Update Date : 10/16/2025

Similar Medicare Providers

1578565701 — DR. DENNIS D COSTERISAN D.O.
Practice Location Address:
320 E CENTRAL AVE
DECATUR, IL
62521-4665
Practice Phone: 217-877-9117
Practice Fax: 217-877-3078
1053310557 — DR. BROOKE NICOLE BALLARD M.D.
Practice Location Address:
320 E CENTRAL AVE
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62521-4665
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1467534065 — DR. TRICIA SCERBA
Practice Location Address:
320 E CENTRAL AVE
DECATUR, IL
62521-4665
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Practice Fax: 217-877-3082
1477627412 — LARRY LIVINGSTON PHD
Practice Location Address:
320 E CENTRAL AVE
DECATUR, IL
62521-4665
Practice Phone: 217-877-9117
Practice Fax:
1457705063 — ELIZABETH HASSINGER MS, RD, LDN
Practice Location Address:
320 E CENTRAL AVE
DECATUR, IL
62521-4665
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Practice Fax:
1942657184 — HERITAGE BEHAVIORAL HEALTH CENTER
Practice Location Address:
320 E CENTRAL AVE
DECATUR, IL
62521-4665
Practice Phone: 217-877-9117
Practice Fax: 217-362-6290

Directions to “COMMUNITY HEALTH IMPROVEMENT CENTER ” Practice Location

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