PRIMECARE COMMUNITY HEALTH INC.
NPI 1336692359
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

NPI Status: Active since July 26, 2016

Contact Information

1431 N WESTERN AVE
SUITE 209
CHICAGO, IL
ZIP 60622
Phone: (312) 491-5435
Fax: (312) 491-5066

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About PRIMECARE COMMUNITY HEALTH INC.

This page provides the complete NPI Profile along with additional information for Primecare Community Health Inc., a primary care provider established in Chicago, Illinois operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1336692359 assigned on July 2016. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Joseph Moldovan (Cfo/coo)

NPI
1336692359
Provider Name
PRIMECARE COMMUNITY HEALTH INC.
Entity Type
Organization
Location Address
1431 N WESTERN AVE SUITE 209 CHICAGO, IL 60622
Location Phone
(312) 491-5435
Location Fax
(312) 491-5066
Mailing Address
2232 N CLYBOURN AVE FL 3 CHICAGO, IL 60614
Mailing Phone
(312) 633-5841
Mailing Fax
(312) 491-5066
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2016
Last Update Date
10-26-2017
Code Navigator

A primary care provider (PCP) like Primecare Community Health Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSEPH MOLDOVAN

Authorized Official Title
CFO/COO
Authorized Official Phone
(312) 491-5034

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PENDINGMEDICARE OSCAR/CERTIFICATION (06)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336692359
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661294310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 9 + 4 + 3 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1336692359 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124029277DR. YOUNG H MOK MD
Individual
Family Medicine1431 N WESTERN AVE #101
CHICAGO, IL 60622
(773) 276-2272
1124004262DR. HUMBERTO VERGARA M.D.
Individual
Family Medicine (Addiction Medicine)1431 N WESTERN AVE SUITE 205
CHICAGO, IL 60622
(773) 278-4811
1235100066TREISTER ORTHOPAEDIC SERVICES LTD
Organization
Specialist1431 N WESTERN AVE SUITE 510
CHICAGO, IL 60622
(312) 633-5866
1548232895DR. CHANG SUN KIM M.D.
Individual
Specialist1431 N WESTERN AVE
CHICAGO, IL 60622
(312) 633-5866
1003888389DR. MICHAEL R TREISTER M.D.
Individual
Orthopaedic Surgery1431 N WESTERN AVE
CHICAGO, IL 60622
(312) 633-5866
1053383992DR. SYEDA H ZAHEDI M.D.
Individual
Family Medicine1431 N WESTERN AVE SUITE 112
CHICAGO, IL 60622
(773) 289-3945
1407896020 LAURA ANN KAUFFMAN M.D.
Individual
Pediatrics1431 N WESTERN AVE SUITE 101
CHICAGO, IL 60622
(773) 276-2272
1962516633GARY J GUZIEC DPM LTD
Organization
Podiatrist (Foot & Ankle Surgery)1431 N WESTERN AVE SUITE 210
CHICAGO, IL 60622
(773) 489-3313
1588766646 NILUARDO CAY M.D.
Individual
Internal Medicine1431 N WESTERN AVE SUITE #209
CHICAGO, IL 60622
(773) 235-5391
1679670194 ZENAIDA E RACHO MD
Individual
Family Medicine1431 N WESTERN AVE SUITE 309
CHICAGO, IL 60622
(773) 862-1356
1649361791DR. PREM NATH PAHWA M.D.
Individual
Specialist1431 N WESTERN AVE 134
CHICAGO, IL 60622
(773) 685-3846
1427103852 CLIFFORD A RODE PT
Individual
Physical Therapist1431 N WESTERN AVE 140
CHICAGO, IL 60622
(773) 235-1900
1174679252MARSHALL I MATZ & DAVID M SHENKER MDSC
Organization
Psychiatry & Neurology (Neurology)1431 N WESTERN AVE SUITE 306
CHICAGO, IL 60622
(312) 332-2226
1497878128DR. SUNITA REMBARSU MD
Individual
Family Medicine1431 N WESTERN AVE
CHICAGO, IL 60622
(312) 633-5841
1124249453 VINOD K SHAH R.PH.
Individual
Pharmacist1431 N WESTERN AVE
CHICAGO, IL 60622
(312) 633-5855
1538379516HUMBERTO VERGARA MD & ASSOCIATES SC
Organization
Family Medicine (Addiction Medicine)1431 N WESTERN AVE SUITE 205
CHICAGO, IL 60622
(773) 278-4811
1881894095SAMUEL CASTILLO
Organization
Internal Medicine (Gastroenterology)1431 N WESTERN AVE SUITE 133
CHICAGO, IL 60622
(773) 342-6800
1174711287PREM N PAHWA MD SC
Organization
Specialist1431 N WESTERN AVE SUITE 134
CHICAGO, IL 60622
(773) 685-3846
1609056795M DOMINGUEZ JR MD SC
Organization
Clinic/Center (Primary Care)1431 N WESTERN AVE SUITE 212
CHICAGO, IL 60622
(773) 770-3409
1205019270ERNESTO CABRERA MD
Organization
Internal Medicine (Nephrology)1431 N WESTERN AVE SUITE 202
CHICAGO, IL 60622
(773) 489-6605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336692359, enumerated in the NPI registry as an "organization" on July 26, 2016

The provider is located at 1431 N Western Ave Suite 209 Chicago, Il 60622 and the phone number is (312) 491-5435

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 26, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.