AUNT MARTHA'S YOUTH SERVICE CENTER NPI 1982150983

NPI Information

NPI: 1982150983
Provider Name: AUNT MARTHA'S YOUTH SERVICE CENTER

Doing Business As: AUNT MARTHA'S EAST DUNDEE COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
511 DUNDEE AVE
EAST DUNDEE, IL
ZIP 60118
Phone: (877) 692-8686
Get Directions

AUNT MARTHA'S YOUTH SERVICE CENTER is a federally qualified health center (fqhc) clinic center in East Dundee, IL. AUNT MARTHA'S YOUTH SERVICE CENTER NPI is 1982150983. The provider is registered as an organization entity type.
The provider Is Doing Business As Aunt Martha's East Dundee Community Health Center.

The provider's business location address is:

511 DUNDEE AVE
EAST DUNDEE, IL
ZIP 60118-642
Phone: (877) 692-8686

The provider's authorized official is Audrey Pennington .
The authorized official title is Executive Vp Of Health and has the following contact phone number (773) 802-7645.

The enumeration date for this NPI number is 8/30/2016 and was last updated on 1/13/2017.

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

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