Aunt Marthas Youth Service Center Inc in Olympia Fields - Federally Qualified Health Center (fqhc)

Aunt Marthas Youth Service Center Inc - NPI 1184764730

Aunt Marthas Youth Service Center Inc is a Federally Qualified Health Center (fqhc) in Olympia Fields, Illinois. Aunt Marthas Youth Service Center Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Aunt Marthas Youth Service Center Inc is 1184764730. The last update date is 2022-07-21.

Aunt Marthas Youth Service Center Inc'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 Inc 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 Inc
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 1184764730
Provider Enumeration Date 2007-02-06
Last Updated Date 2022-07-21

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
Licence No 29
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

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FAQs about Aunt Marthas Youth Service Center Inc

What is the unique identification code assigned to Aunt Marthas Youth Service Center Inc by the Centers for Medicare & Medicaid Services?

The Aunt Marthas Youth Service Center Inc has been issued the NPI (National Provider Identifier) 1184764730. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Aunt Marthas Youth Service Center Inc's facilities are situated?

The facilities of Aunt Marthas Youth Service Center Inc are physically located at the following address: 19990 Governors Hwy, Olympia Fields, IL, 604611021.

What is Aunt Marthas Youth Service Center Inc'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 Inc is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.

When was the Aunt Marthas Youth Service Center Inc's 1184764730 issued?

The Aunt Marthas Youth Service Center Inc's 1184764730 was issued on 2007-02-06.

When was the information regarding Aunt Marthas Youth Service Center Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Aunt Marthas Youth Service Center Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.

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