Aunt Marthas Youth Service Center in Olympia Fields - Federally Qualified Health Center (fqhc)
Aunt Marthas Youth Service Center - NPI 1225080922
Aunt Marthas Youth Service Center is a Federally Qualified Health Center (fqhc) in Olympia Fields, Illinois. Aunt Marthas Youth Service Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Aunt Marthas Youth Service Center is 1225080922. The last update date is 2010-12-02.
Aunt Marthas Youth Service Center's current location address is 19990 Governors Hwy, Olympia Fields, Illinois. You can contact this provider via phone number 7087477100. The mailing address for Aunt Marthas Youth Service Center is 19990 Governors Hwy, Olympia Fields, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aunt Marthas Youth Service Center |
|---|---|
| Address | 19990 Governors Hwy, Olympia Fields, Illinois |
| Phone Number | 7087477100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Nordloh J Christopher |
| Telephone Number | 7087477100 |
NPI Number Detail
| NPI Number | 1225080922 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2010-12-02 |
Provider Mailing Address Detail
| Address | 19990 Governors Hwy |
|---|---|
| City | Olympia Fields |
| State | Illinois (IL) |
| Post Code | 604611021 |
| Phone Number | 7087477100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Aunt Marthas Youth Service Center?
The Aunt Marthas Youth Service Center has been issued the NPI (National Provider Identifier) 1225080922 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Aunt Marthas Youth Service Center is physically located?
The Aunt Marthas Youth Service Center is situated at the following address: 19990 Governors Hwy, Olympia Fields, IL 604611021.
What is Aunt Marthas Youth Service Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Aunt Marthas Youth Service Center is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225080922 to Aunt Marthas Youth Service Center?
The Centers for Medicare & Medicaid Services originally issued the 1225080922 to Aunt Marthas Youth Service Center on 2006-05-17.
When was the information related to Aunt Marthas Youth Service Center most recently updated or refreshed?
The details pertaining to the Aunt Marthas Youth Service Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-12-02.
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