CHESTNUT FAMILY HEALTH CENTER
NPI 1790055952
Clinic/Center - Federally Qualified Health Center (FQHC) in Bloomington, IL

NPI Status: Active since January 05, 2012

Contact Information

702 W CHESTNUT ST
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 557-1400
Fax: (309) 557-1461

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 14D2124657
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 01-22-2027

About CHESTNUT FAMILY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Chestnut Family Health Center, a primary care provider established in Bloomington, Illinois operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1790055952 assigned on January 2012. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Chestnut Family Health Center. The authorized official of this NPI record is Megan Marie Taylor (Managed Care Supervisor)

NPI
1790055952
Provider Legal Name
CHESTNUT HEALTH SYSTEMS, INC
Other Organization Name
CHESTNUT FAMILY HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
702 W CHESTNUT ST BLOOMINGTON, IL 61701
Location Phone
(309) 557-1400
Location Fax
(309) 557-1461
Mailing Address
1003 MARTIN LUTHER KING DR BLOOMINGTON, IL 61701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2012
Last Update Date
03-16-2023
Code Navigator

A primary care provider (PCP) like Chestnut Family Health Center 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

Secondary Locations

  • 720 W Chestnut St
    Bloomington, IL 61701
    (309) 557-1400

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
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • 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
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - 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
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*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

MEGAN MARIE TAYLOR

Authorized Official Title
MANAGED CARE SUPERVISOR
Authorized Official Phone
(888) 924-3786

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2124657
Facility Type
Federally Qualified Health Center
Certificate Effective Date
January 23, 2025
Certificate Expiration Date
January 22, 2027
Laboratory Director
JARED C. ROGERS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Chestnut Family Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790055952, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 0 + 5 + 1 + 0 + 9 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1790055952.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Counselor (Professional)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Counselor
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Social Worker (Clinical)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Social Worker (Clinical)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Counselor (Addiction (Substance Use Disorder))
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Counselor (Addiction (Substance Use Disorder))
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Social Worker
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Social Worker
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Counselor (Addiction (Substance Use Disorder))
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Psychologist (Addiction (Substance Use Disorder))
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Counselor (Addiction (Substance Use Disorder))
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Student in an Organized Health Care Education/Training Program
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Counselor
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Nurse Practitioner (Family)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Nurse Practitioner (Family)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Counselor
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Clinic/Center (Federally Qualified Health Center (FQHC))
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Nurse Practitioner (Family)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
Social Worker (Clinical)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790055952, enumerated as an "organization" on January 05, 2012.

The provider is located at 702 W CHESTNUT ST BLOOMINGTON, IL 61701 and the phone number is (309) 557-1400.

Clinic/Center with taxonomy code 261QF0400X and 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 verify.