Aunt Martha'S Blue Island Community Health Center

LBN: Aunt Martha'S Youth Service Center
Aunt Martha'S Blue Island Community Health Center is an health care organization with primary practice located at 12139 S. Western Ave , Blue Island IL 60406. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Aunt Martha'S Youth Service Center can be contacted via phone (877) 692-8686, or through Pennington, Audrey via phone (773) 802-7645.

Contact Information

Primary practice address
12139 S. Western Ave Blue Island IL 60406
Phone: (877) 692-8686
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pennington, Audrey
Phone: (773) 802-7645

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1174070676
LBN Legal business name Aunt Martha'S Youth Service Center
DBA Doing business as Aunt Martha'S Blue Island Community Health Center
Authorized official Pennington, Audrey
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Jan 13th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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