AUNT MARTHA'S YOUTH SERVICE CENTER INC NPI 1861723611

NPI Information

NPI: 1861723611
Provider Name: AUNT MARTHA'S YOUTH SERVICE CENTER, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
233 WJOE ORR RD
NORTH BUILDING
CHICAGO HEIGHTS, IL
ZIP 60411
Phone: (708) 747-7100
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AUNT MARTHA'S YOUTH SERVICE CENTER, INC is a federally qualified health center (fqhc) clinic center in Chicago Heights, IL. AUNT MARTHA'S YOUTH SERVICE CENTER, INC NPI is 1861723611. The provider is registered as an organization entity type.

The provider's business location address is:

233 WJOE ORR RD
NORTH BUILDING
CHICAGO HEIGHTS, IL
ZIP 60411
Phone: (708) 747-7100

The provider's authorized official is Christopher J Nordloh .
The authorized official title is Cfo and has the following contact phone number (708) 747-7100.

The enumeration date for this NPI number is 1/19/2010 and was last updated on 12/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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