OrganizationActive
Promise Healthcare Nfp
NPI 1629846928 · Federally Qualified Health Center (FQHC) · Rantoul, IL
Provider details
- NPI number
- 1629846928
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Henry, Ceo(217) 403-5401
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
424 E Wabash Ave
Rantoul, IL 61866-3013
Phone: (217) 356-1558
Approximate (ZIP-level) locationGet directions
Mailing address
819 Bloomington Rd
Champaign, IL 61820-2101
Registry dates
- Enumerated
- 2023-12-15
- Last updated
- 2024-06-03
- Certified
- 2024-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.