NPI 1255778221 AUNT MARTHA'S YOUTH SERVICE CENTER, INC OLYMPIA FIELDS IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Aunt Martha's Youth Service Center, Inc - NPI: 1255778221

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 YOUTH SERVICE CENTER, INC
NPI Number: 1255778221
Entity Type Code: Organizational (2)
Authorized Official Name: CHRIS NORDLOH
(CFO)
Mailing Address: 500 Dixie Highway
Chicago Heights
State: IL US
Postal Code: 60411
Phone Number: 7088985800
Fax Number: 7087543973
NPI Enumeration Date: 05/30/2013
NPI Last Update Date: 05/30/2013
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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