AUNT MARTHA'S YOUTH SERVICE CENTER, INC – NPI #1861723611
Clinic/Center

AUNT MARTHA'S YOUTH SERVICE CENTER, INC is an AHC clinic located in CHICAGO HEIGHTS, IL. NPPES has assigned the NPI number 1861723611 to AUNT MARTHA'S YOUTH SERVICE CENTER, INC on January 19, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 16 years ago on Dec 02, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUNT MARTHA'S YOUTH SERVICE CENTER, INC below.

NPI Profile for
AUNT MARTHA'S YOUTH SERVICE CENTER, INC

NPI Number
1861723611
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AUNT MARTHA'S YOUTH SERVICE CENTER, INC
Primary location
233 WJOE ORR RD
NORTH BUILDING
CHICAGO HEIGHTS, IL 60411
Phone: (708) 747-7100 Fax:
Mailing address
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461-1021
Phone: (708) 747-7100 Fax:
Organization Subpart
No
Authorized Official
CHRISTOPHER NORDLOH
CFO
Phone: (708) 747-7100
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.