Provider Demographics
NPI:1669812582
Name:ESPERANZA HEALTH CENTERS
Entity Type:Organization
Organization Name:ESPERANZA HEALTH CENTERS
Other - Org Name:ESPERANZA HEALTH CENTER AT MARQUETTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF BILLING & PATIENT ACCES
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-640-5785
Mailing Address - Street 1:6550 S RICHMOND ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-2821
Mailing Address - Country:US
Mailing Address - Phone:773-584-6202
Mailing Address - Fax:
Practice Address - Street 1:6550 S RICHMOND ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-2821
Practice Address - Country:US
Practice Address - Phone:773-584-6202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESPERANZA HEALTH CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-25
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)