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PRIMECARE NORTHWEST
NPI 1730235870
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since January 25, 2007CLIA 14D0427071 · Microscopy
1649 N PULASKI RD, CHICAGO, IL 60639(773) 278-6868(773) 278-6922 Get Directions Write a Review

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

About Primecare Northwest NPPES

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

PRIMECARE NORTHWEST (NPI 1730235870) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Joseph Moldovan, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1730235870
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePRIMECARE COMMUNITY HEALTH, INC.
Location Address1649 N PULASKI RDChicago, IL 60639-5207
Mailing Address2232 N Clybourn Ave Fl 3Chicago, IL 60614-3193 · (312) 633-5841 · Fax (773) 269-5500
Phone(773) 278-6868
Fax(773) 278-6922
Organization SubpartNo
Authorized OfficialJoseph MoldovanChief Financial Officer · (312) 491-5034
Enumeration DateJanuary 25, 2007
Last NPPES UpdateOctober 26, 2017
✔ NPI 1730235870 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
1649 N PULASKI RD, Chicago, IL 60639
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Other Names 1

Doing Business AsPrimecare Northwest

Other Identifiers 3

Medicare OSCAR/certification141986IL
Medicare OSCAR/certification324020IL
Medicaid=========009IL

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) 14D0427071

Primecare Northwest · Chicago, IL
Active · expires Aug 31, 2026
CLIA Number14D0427071
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJames Lang M D
Laboratory Phone(773) 278-6868
Laboratory LocationPrimecare Northwest1649 N Pulaski Ave, Chicago, IL 60649
CLIA data matches this NPI record on: Name Phone
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 8

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

MRS. PAULETTE Y. JARRETT-RODNEY FNP
Nurse Practitioner (Family)
1649 N PULASKI RD
CHICAGO, IL 60639
Cook County (773) 278-6868
DR. BRIDGET NORD M.D.
Family Medicine
1649 N PULASKI RD
CHICAGO, IL 60639
Cook County (773) 278-6868
DR. ABIGAIL LINN SMITH M.D.
Family Medicine
1649 N PULASKI RD
CHICAGO, IL 60639
Cook County (773) 278-6868
AIDA LUZ PEREZ LCSW
Social Worker (Clinical)
1649 N PULASKI RD
CHICAGO, IL 60639
Cook County (773) 278-6868
QUEST DIAGNOSTICS LLC
Clinical Medical Laboratory
1649 N PULASKI RD
CHICAGO, IL 60639
Cook County (773) 278-6868
BONNIE BRIANNA ROSE BIERBAUM PA-C
Physician Assistant
1649 N PULASKI RD
CHICAGO, IL 60639
Cook County (773) 278-6868
ANNE CHRISTINA BUENNEKE LCSW
Social Worker (Clinical)
1649 N PULASKI RD
CHICAGO, IL 60639
Cook County (773) 278-6868
CLEMEN O GONZALEZ VASQUEZ M.D.
Family Medicine
1649 N PULASKI RD
CHICAGO, IL 60639
Cook County (773) 278-6868

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 1730235870. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Primecare Northwest.

Where is Primecare Community Health, Inc. located?

Primecare Community Health, Inc. is located at 1649 N Pulaski Rd, Chicago, IL 60639. The listed phone number is (773) 278-6868.

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 14D0427071) is associated with this NPI, valid through August 31, 2026. 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 with the weekly NPPES data releases published by CMS.