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

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

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:

Ambetter from Home State Health

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

Ambetter Health

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

Ambetter Health of Delaware

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

Ambetter of Illinois

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 Cross and Blue Shield of Illinois

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

Molina Healthcare

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

Medicare

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

Medicaid

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
PENDING	MEDICARE OSCAR/CERTIFICATION (06)	IL

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.
1	3	3	6	6	9	2	3	5	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	6	6	12	9	4	3	10
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 = 9									9

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.

DR. YOUNG H MOK MD

Family Medicine

1431 N WESTERN AVE
#101
CHICAGO, IL
ZIP 60622

About PRIMECARE COMMUNITY HEALTH INC.

Location Map

Specialty - Primary Taxonomy

Clinic/Center Federally Qualified Health Center (FQHC)

Insurance Plans Accepted

Authorized Official

JOSEPH MOLDOVAN

Additional Identifiers

Reviews for PRIMECARE COMMUNITY HEALTH INC.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions