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

Q: What is Chestnut Health Systems, Inc's NPI number?

The NPI number for Chestnut Health Systems, Inc is 1790055952. It was assigned to this organization in the NPPES registry on January 5, 2012. The provider is doing business as Chestnut Family Health Center.

Q: What is Chestnut Health Systems, 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 January 05, 2012CLIA 14D2124657 · Waiver

702 W CHESTNUT ST, BLOOMINGTON, IL 61701(309) 557-1400(309) 557-1461 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2023, May 12, 2020, Feb 27, 2019 and 2 more (5 updates tracked since 2018).

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About Chestnut Family Health Center NPPES

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

CHESTNUT FAMILY HEALTH CENTER (NPI 1790055952) is a healthcare organization registered as a federally qualified health center (fqhc) in Bloomington, Illinois and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through January 22, 2027, maintains a secondary practice location in Bloomington, and lists Megan Marie Taylor, Managed Care Supervisor, as its authorized official.

NPPES Registry Identity

NPI1790055952

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCHESTNUT HEALTH SYSTEMS, INC

Location Address702 W CHESTNUT STBloomington, IL 61701-2814

Mailing Address1003 Martin Luther King DrBloomington, IL 61701-1429

Phone(309) 557-1400

Fax(309) 557-1461

Organization SubpartNo

Authorized OfficialMegan Marie TaylorManaged Care Supervisor · (888) 924-3786

Enumeration DateJanuary 5, 2012

Last NPPES UpdateMarch 16, 20235 updates tracked since enumeration

NPPES CertifiedMarch 16, 2023

✔ NPI 1790055952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code261QF0400X

702 W CHESTNUT ST, Bloomington, IL 61701

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Other Names 1

Doing Business AsChestnut Family Health Center

Secondary Practice Location 1

Location 1720 W Chestnut StBloomington, IL 61701-2814 · Phone (309) 557-1400 · Fax (309) 557-1461

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 of Waiver 14D2124657

Chestnut Family Health Center 702 · Bloomington, IL

Active · expires Jan 22, 2027

CLIA Number14D2124657

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJanuary 23, 2025

Certificate Expiration DateJanuary 22, 2027

Laboratory DirectorJared C. Rogers

Laboratory Phone(309) 557-1400

Laboratory LocationChestnut Family Health Center 702702 W Chestnut St, Bloomington, IL 61701

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MR. BRYAN JAMES HINMAN M.A.

Counselor (Mental Health)