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PRIMECARE FULLERTON
NPI 1992851067
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since January 25, 2007CLIA 14D0872741 · Microscopy
3924 W FULLERTON AVE, CHICAGO, IL 60647(773) 276-2229(773) 276-2190 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Primecare Fullerton NPPES

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

PRIMECARE FULLERTON (NPI 1992851067) 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 June 30, 2027 and lists Joseph Moldovan, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1992851067
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePRIMECARE COMMUNITY HEALTH, INC.
Location Address3924 W FULLERTON AVEChicago, IL 60647-2228
Mailing Address1431 N. Western Ave., Suite #401Chicago, IL 60622-1797 · (312) 633-5841 · Fax (312) 491-5485
Phone(773) 276-2229
Fax(773) 276-2190
Organization SubpartNo
Authorized OfficialJoseph MoldovanChief Financial Officer · (312) 491-5034
Enumeration DateJanuary 25, 2007
Last NPPES UpdateOctober 26, 2017
✔ NPI 1992851067 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
3924 W FULLERTON AVE, Chicago, IL 60647
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Other Names 1

Doing Business AsPrimecare Fullerton

Other Identifiers 3

Medicare OSCAR/certification141985IL
Medicaid=========010IL
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) 14D0872741

Primecare Fullerton · Chicago, IL
Active · expires Jun 30, 2027
CLIA Number14D0872741
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorElias Murciano M D
Laboratory Phone(314) 800-6161
Laboratory LocationPrimecare Fullerton3924 W Fullerton, Chicago, IL 60647
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 7

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

QUEST DIAGNOSTICS LLC
Clinical Medical Laboratory
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229
KALYNA PETRUSHA PA-C
Physician Assistant
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229
MRS. CATALINA RUIZ APN
Nurse Practitioner
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229
DANA KROOP APRN
Nurse Practitioner (Family)
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229
DR. ELIAS MURCIANO M.D.
Family Medicine
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229
MR. JAMES E LANG M.D
Family Medicine
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229
CLAUDIA SANCHEZ M.D.
Family Medicine
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229

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 1992851067. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Primecare Fullerton.

Where is Primecare Community Health, Inc. located?

Primecare Community Health, Inc. is located at 3924 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 276-2229.

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 14D0872741) is associated with this NPI, valid through June 30, 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.