Aunt Martha'S Youth Service Center Inc in Chicago Heights - Federally Qualified Health Center (fqhc)
Aunt Martha'S Youth Service Center Inc - NPI 1063678530
Aunt Martha'S Youth Service Center Inc is a Federally Qualified Health Center (fqhc) in Chicago Heights, Illinois. Aunt Martha'S Youth Service Center Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Aunt Martha'S Youth Service Center Inc is 1063678530. The last update date is 2022-07-21.
Aunt Martha'S Youth Service Center Inc's current location address is 233 W Joe Orr Rd, Chicago Heights, Illinois. You can contact this provider via phone number 7087541044. The mailing address for Aunt Martha'S Youth Service Center Inc is 233 W Joe Orr Rd, Chicago Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aunt Martha'S Youth Service Center Inc |
|---|---|
| Address | 233 W Joe Orr Rd, Chicago Heights, Illinois |
| Phone Number | 7087541044 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Garvey Jerry |
| Telephone Number | 7087541044 |
NPI Number Detail
| NPI Number | 1063678530 |
|---|---|
| Provider Enumeration Date | 2008-08-04 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 233 W Joe Orr Rd |
|---|---|
| City | Chicago Heights |
| State | Illinois (IL) |
| Post Code | 604111744 |
| Phone Number | 7087541044 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 48 |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique 10-digit identifier code issued to Aunt Martha'S Youth Service Center Inc by the Centers for Medicare & Medicaid Services?
The Aunt Martha'S Youth Service Center Inc has been assigned the NPI (National Provider Identifier) 1063678530 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Aunt Martha'S Youth Service Center Inc located?
The Aunt Martha'S Youth Service Center Inc is located at 233 W Joe Orr Rd, Chicago Heights, IL 604111744.
What is the Aunt Martha'S Youth Service Center Inc's specialty and taxonomy code?
The Aunt Martha'S Youth Service Center Inc's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
When did Aunt Martha'S Youth Service Center Inc receive its 1063678530 assignment?
The Aunt Martha'S Youth Service Center Inc was assigned its 1063678530 on 2008-08-04, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Aunt Martha'S Youth Service Center Inc last refreshed?
The information related to the Aunt Martha'S Youth Service Center Inc, including its address, specialty, and other relevant details, was last updated on 2022-07-21.