OrganizationFamily Christian Health CenterClinic/CenterAmbulatory Health Care FacilitiesPractice Address15620 Wood St, Harvey, IL 60426-4171(708) 596-5177PECOS EnrollmentBased on the most recent information from CMS, provider Family Christian Health Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1487240016Provider TypeOrganizationFull NameFamily Christian Health CenterSubpartYesEnumeration Date12/17/2020Last Updated6/15/2022Contact InformationPractice LocationPractice Address15620 Wood St, Harvey, IL 60426-4171Phone(708) 596-5177FaxUnlisted FaxMailing LocationMailing Address31 W 155th St, Harvey, IL 60426-3556Phone(708) 596-5177Fax(708) 596-5518Authorized OfficialNameDonaldson, Jacqueline Y (Credentialing)Phone(708) 596-5177Provider TaxonomiesCodeDescriptionLicenseCode261QF0400XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer