| Aunt Martha's Youth Service Center | |
|
812 N Logan Ave Danville IL 61832-3752 | |
| (877) 692-8686 | |
| Not Available |
| Full Name | Aunt Martha's Youth Service Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 812 N Logan Ave, Danville, Illinois |
| Authorized Official Name and Position | Audrey Pennington (EXECUTIVE VP OF HEALTH) |
| Authorized Official Contact | 7738027645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aunt Martha's Youth Service Center 19900 Governors Dr Olympia Fields IL 60461-1057 Ph: () - | Aunt Martha's Youth Service Center 812 N Logan Ave Danville IL 61832-3752 Ph: (877) 692-8686 |
| NPI Number | 1427508464 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 01/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427508464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
County Of Vermilion Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S College St, Suite A, Danville, IL 61832 Phone: 217-431-2662 Fax: 217-431-7483 | |
Carle Clinic Association, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 N Vermilion St, Danville, IL 61832 Phone: 217-431-7600 | |
Provena Service Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Sheridan St, Danville, IL 61832 Phone: 217-431-6330 | |
Carle Health Care Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 W Fairchild St, Danville, IL 61832 Phone: 217-431-7600 | |
Muhammad Mushtaq Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 W Fairchild St, Suite B, Danville, IL 61832 Phone: 217-431-1100 Fax: 217-431-2900 | |
Osf Healthcare System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 309-655-2850 | |
Vermilion Medical Center Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 West Fairchild Street, Suite A, Danville, IL 61832 Phone: 217-443-3866 Fax: 217-443-0216 |