National Provider Identifier Database

AUNT MARTHAS HEALTH AND WELLNESS INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

AUNT MARTHA'S HEALTH AND WELLNESS, INC.
420 NE GLEN OAK AVE FL 1
PEORIA, IL61603-3106
Phone: 877-692-8686
Fax: 708-747-8024
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for AUNT MARTHA'S HEALTH AND WELLNESS, INC.

NPI Number 1700539517
Legal business name
LBN
AUNT MARTHA'S HEALTH AND WELLNESS, INC.
Authorized official AUDREY PENNINGTON - (COO)
Entity Organization
Organization subpart No
Enumeration date 02/01/2022
Last updated 02/01/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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