NPI 1154679116 AUNT MARTHA'S HEALTH CENTER WEST JOLIET JOLIET IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Aunt Martha's Health Center West Joliet - NPI: 1154679116

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: AUNT MARTHA'S HEALTH CENTER WEST JOLIET
NPI Number: 1154679116
Entity Type Code: Organizational (2)
Authorized Official Name: CHRISTOPHER J NORDLOH
(CFO)
Mailing Address: 19990 Governors Hwy
Olympia Fields
State: IL US
Postal Code: 604611021
Phone Number: 7087477100
Fax Number:
NPI Enumeration Date: 08/23/2012
NPI Last Update Date: 08/24/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QF0400X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Federally Qualified Health Center (FQHC)
Taxonomy Definition:


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