PRIMECARE HAMLIN
NPI 1356622500
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Q: What is Primecare Community Health, Inc.'s NPI number?

The NPI number for Primecare Community Health, Inc. is 1356622500. It was assigned to this organization in the NPPES registry on September 1, 2011. The provider is doing business as Primecare Hamlin.

Q: What is Primecare Community Health, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since September 01, 2011CLIA 14D1105693 · Microscopy

1920 N HAMLIN AVE, CHICAGO, IL 60647(773) 772-7202(773) 772-7244 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Primecare Hamlin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMECARE HAMLIN (NPI 1356622500) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since September 2011. The organization holds a CLIA Microscopy certificate valid through September 27, 2027 and lists Joseph Moldovan, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1356622500

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NamePRIMECARE COMMUNITY HEALTH, INC.

Location Address1920 N HAMLIN AVEChicago, IL 60647-3411

Mailing Address2232 N Clybourn Ave Fl 3Chicago, IL 60614-3193 · (312) 633-5841 · Fax (773) 269-5500

Phone(773) 772-7202

Fax(773) 772-7244

Organization SubpartNo

Authorized OfficialJoseph MoldovanChief Executive Officer · (312) 491-5034

Enumeration DateSeptember 1, 2011

Last NPPES UpdateOctober 26, 2017

✔ NPI 1356622500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

1920 N HAMLIN AVE, Chicago, IL 60647

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Other Names 1

Doing Business AsPrimecare Hamlin

Other Identifiers 3

Medicaid=========014IL

Medicare OSCAR/certification141182IL

Medicare OSCAR/certification324020IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D1105693

Primecare Hamlin · Chicago, IL

Active · expires Sep 27, 2027

CLIA Number14D1105693

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 28, 2025

Certificate Expiration DateSeptember 27, 2027

Laboratory DirectorJennifer T. Fritz

Laboratory Phone(314) 800-6161

Laboratory LocationPrimecare Hamlin1920 N Hamlin, Room 101, Chicago, IL 60647

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL RICHARD LCSW

Social Worker (Clinical)

1920 N HAMLIN AVE
CHICAGO, IL 60647

Cook County (773) 772-7202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primecare Community Health, Inc.'s NPI number?

The NPI number for Primecare Community Health, Inc. is 1356622500. It was assigned to this organization in the NPPES registry on September 1, 2011. The provider is doing business as Primecare Hamlin.

Where is Primecare Community Health, Inc. located?

Primecare Community Health, Inc. is located at 1920 N Hamlin Ave, Chicago, IL 60647. The listed phone number is (773) 772-7202.

What is Primecare Community Health, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Primecare Community Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D1105693) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primecare Community Health, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Primecare Community Health, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Primecare Community Health, Inc. was last updated on October 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.