Aunt Marthas Youth Service Center Inc in Olympia Fields - Federally Qualified Health Center (fqhc)
Aunt Marthas Youth Service Center Inc - NPI 1831239490
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 1831239490. 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 | 1831239490 |
|---|---|
| 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 | 32 |
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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 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) 1831239490 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Aunt Marthas Youth Service Center Inc?
The Aunt Marthas Youth Service Center Inc is situated at 19990 Governors Hwy, in the city of Olympia Fields, state of IL, with the zip code 604611021.
What is the Aunt Marthas Youth Service Center Inc's area of specialization and corresponding taxonomy classification?
The Aunt Marthas Youth Service Center Inc's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1831239490 to Aunt Marthas Youth Service Center Inc?
The Aunt Marthas Youth Service Center Inc received its 1831239490 assignment from the Centers for Medicare & Medicaid Services on 2007-02-06.
As of what date was the information regarding Aunt Marthas Youth Service Center Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Aunt Marthas Youth Service Center Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.