NPI 1629846928

Promise Healthcare Nfp

Organisation Federally Qualified Health Center (FQHC) Rantoul, IL

Practice location

Address: 424 E Wabash Ave, Rantoul, IL 61866-3013
Phone: (217) 356-1558
Mailing address: 819 Bloomington Rd, Champaign, IL 61820-2101

Authorised official

Name: Jennifer Henry
Title: Ceo
Phone: (217) 403-5401

Registered specialties (3)

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Illinois →

Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Primary Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Registry record

NPI: 1629846928
Entity type: Organization
NPI issued: 15 Dec 2023
Record last updated: 3 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.