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PRIMECARE BELMONT CRAGIN
NPI 1790247476
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since April 02, 2019CLIA 14D2223529 · Microscopy
5635 W BELMONT AVE, CHICAGO, IL 60634(773) 736-1830(773) 736-1840 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2019, Apr 4, 2019 (2 updates tracked since 2019).

About Primecare Belmont Cragin NPPES

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

PRIMECARE BELMONT CRAGIN (NPI 1790247476) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since April 2019. The organization holds a CLIA Microscopy certificate valid through May 6, 2027 and lists Robert Vangilder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790247476
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePRIMECARE COMMUNITY HEALTH INC.
Location Address5635 W BELMONT AVEChicago, IL 60634-4384
Mailing AddressPo Box 21844Belfast, ME 04915-4115 · (312) 491-5034 · Fax (312) 491-5485
Phone(773) 736-1830
Fax(773) 736-1840
Organization SubpartNo
Authorized OfficialRobert VangilderCfo · (312) 491-5034
Enumeration DateApril 2, 2019
Last NPPES UpdateApril 11, 20192 updates tracked since enumeration
✔ NPI 1790247476 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
5635 W BELMONT AVE, Chicago, IL 60634
Open in Google Maps ↗

Other Names 1

Doing Business AsPrimecare Belmont Cragin

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) 14D2223529

Primecare Belmont Cragin Health Center · Chicago, IL
Active · expires May 6, 2027
CLIA Number14D2223529
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorClaudia Sanchez
Laboratory Phone(616) 482-9892
Laboratory LocationPrimecare Belmont Cragin Health Center5635 W Belmont Ave, Chicago, IL 60634
CLIA data matches this NPI record on: Address 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 11

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

LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
5635 W BELMONT AVE
CHICAGO, IL 60634
Cook County (312) 633-5865
OMAR IVAN ALBA VALDEZ LCSW
Social Worker (Clinical)
5635 W BELMONT AVE
CHICAGO, IL 60634
Cook County (773) 736-1830
LIMARIZ REBOLLEDO
Physician Assistant
5635 W BELMONT AVE
CHICAGO, IL 60634
Cook County (773) 736-1830
DANIEL CHANCE SEEDER
Social Worker
5635 W BELMONT AVE
CHICAGO, IL 60634
Cook County (773) 736-1830
LUCIA GURROLA PA-C
Physician Assistant
5635 W BELMONT AVE
CHICAGO, IL 60634
Cook County (773) 736-1830
ANH SOH LA DDS
Dentist
5635 W BELMONT AVE
CHICAGO, IL 60634
Cook County (773) 736-1830
CHANTAL RUBEN PA-C, MPH
Physician Assistant
5635 W BELMONT AVE
CHICAGO, IL 60634
Cook County (773) 736-1830
MR. ARBIN MEMISI LPC
Counselor (Mental Health)
5635 W BELMONT AVE
CHICAGO, IL 60634
Cook County (773) 736-1830

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 1790247476. It was assigned to this organization in the NPPES registry on April 2, 2019. The provider is doing business as Primecare Belmont Cragin.

Where is Primecare Community Health Inc. located?

Primecare Community Health Inc. is located at 5635 W Belmont Ave, Chicago, IL 60634. The listed phone number is (773) 736-1830.

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 14D2223529) is associated with this NPI, valid through May 6, 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 April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.