Aunt Marthas Youth Service Center Inc in Olympia Fields - Federally Qualified Health Center (fqhc)
Aunt Marthas Youth Service Center Inc - NPI 1811171143
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 1811171143. The last update date is 2011-03-22.
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 | 1811171143 |
|---|---|
| Provider Enumeration Date | 2007-12-21 |
| Last Updated Date | 2011-03-22 |
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 |
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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 identifier code issued to Aunt Marthas Youth Service Center Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Aunt Marthas Youth Service Center Inc has been assigned the NPI (National Provider Identifier) 1811171143. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Aunt Marthas Youth Service Center Inc's facilities are geographically located?
The facilities of Aunt Marthas Youth Service Center Inc are physically situated at the following location: 19990 Governors Hwy, Olympia Fields, IL, 604611021.
What is Aunt Marthas Youth Service Center Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Aunt Marthas Youth Service Center Inc's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811171143 to Aunt Marthas Youth Service Center Inc?
The Centers for Medicare & Medicaid Services originally issued the 1811171143 to Aunt Marthas Youth Service Center Inc on 2007-12-21.
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 2011-03-22.