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Contact Information

AUNT MARTHAS YOUTH SERVICE CENTER INC
602 TORRENCE AVE
CALUMET CITY, IL60409-3813
 Phone: 708-747-7100
 Fax: 708-747-0710
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for AUNT MARTHAS YOUTH SERVICE CENTER INC

NPI # 1336310523
LBN Legal business name AUNT MARTHAS YOUTH SERVICE CENTER INC
Authorized official CHRISTOPHER NORDLOH - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/17/2008
Last updated 07/21/2022 - About 4 years ago
Identifiers
IL License # 046
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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