AUNT MARTHA'S YOUTH SERVICE CENTER (NPI# 1427508464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427508464 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER |
| Other Organization Name | AUNT MARTHA'S VERMILION WEST COMMUNITY HEALTH CENTER |
| Practice Address |
812 N Logan Ave Danville IL 61832-3752 |
| Mailing Address |
19900 Governors Dr Olympia Fields IL 60461-1057 |
| Practice Telephone | 8776928686 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | AUDREY PENNINGTON (EXECUTIVE VP OF HEALTH) |
| Authorized Official Telephone | 7738027645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aunt Martha's Vermilion West Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1861637878 | Aunt Martha's Youth Service Center | Community/Behavioral Health | 440 Forest Blvd, Park Forest, IL 60466-2002 | 2008-12-04 |
| 1720258619 | Aunt Martha's Youth Service Center | Community/Behavioral Health | 15020 Cicero Ave, Suite D, Oak Forest, IL 60452-1441 | 2008-03-06 |
| 1295835023 | Aunt Martha's Youth Service Center | Clinic/Center | 8640 S South Chicago Ave, Chicago, IL 60617-2314 | 2006-09-22 |
| 1710424916 | Aunt Martha's Youth Service Center | Clinic/Center | 15350 Oak Park Ave, Oak Forest, IL 60452-1500 | 2017-01-25 |
| 1962949230 | Aunt Martha's Youth Service Center | Clinic/Center | 8640 S South Chicago Ave, Chicago, IL 60617-2314 | 2017-01-25 |
| 1982150983 | Aunt Martha's Youth Service Center | Clinic/Center | 511 Dundee Ave, East Dundee, IL 60118-1642 | 2016-08-30 |
| 1912452483 | Aunt Martha's Youth Service Center | Clinic/Center | 3703 Doty Rd, Mob 1, Suite 1, Woodstock, IL 60098-7517 | 2016-08-24 |
| 1851626089 | Aunt Martha's Youth Service Center | Clinic/Center | 755 Pulaski Rd, Calumet City, IL 60409-4030 | 2009-10-06 |
| 1568638500 | Aunt Martha's Youth Service Center | Case Management | 191 W 155th Pl, Harvey, IL 60426-3413 | 2008-04-30 |
| Street Address |
812 N LOGAN AVE |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-3752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585267 | Damon C. Green | Anesthesiology | 812 N Logan Ave, Anesthesia, Danville, IL 61832-3752 | 2005-08-15 |
| 1649884354 | Arianna Alexis Watson | Dietitian, Registered | 812 N Logan Ave, Danville, IL 61832-3752 | 2020-09-01 |
| 1821601618 | Rachel Cooper | Dietitian, Registered | 812 N Logan Ave, Danville, IL 61832-3752 | 2020-08-31 |
| 1730738543 | Valorie Lea Mcmillan | Nurse Practitioner | 812 N Logan Ave, Danville, IL 61832-3752 | 2019-09-05 |
| 1669934865 | Lacey J Youhas | Nurse Practitioner | 812 N Logan Ave, Danville, IL 61832-3752 | 2019-04-05 |
| 1003370990 | Randi M Morgan | Nurse Practitioner | 812 N Logan Ave, Danville, IL 61832-3752 | 2019-01-25 |
| 1467921627 | Carter Kenny Mcgowen | Physician Assistant | 812 N Logan Ave, Danville, IL 61832-3752 | 2018-11-17 |
| 1720557341 | Courtney M. Montel | Nurse Practitioner | 812 N Logan Ave, Danville, IL 61832-3752 | 2018-11-14 |
| 1841770534 | Le Ann Galbraith | Nurse Practitioner | 812 N Logan Ave, Danville, IL 61832-3752 | 2018-08-21 |
| 1750875340 | Nicole Marie Gowan | Nurse Practitioner | 812 N Logan Ave, Danville, IL 61832-3752 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1700336864 | Cumberland Family Medical Center, Inc. | Clinic/Center | 321 S 3rd St, Building 2, Danville, KY 40422-2090 | 2016-10-12 |
| 1780914747 | Piedmont Access To Health Services Inc | Clinic/Center | 501 Rison St Ste 110, Danville, VA 24541-2426 | 2010-01-13 |
| 1548418494 | Cumberland Family Medical Center, Inc. | Clinic/Center | 217 S 3rd St, Danville, KY 40422-1823 | 2008-09-04 |
| 1578696910 | Piedmont Access To Health Services Inc | Clinic/Center | 705 Main St, Danville, VA 24541-1803 | 2007-03-14 |
| 1447390984 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 614 N Gilbert St, Danville, IL 61832-3940 | 2007-02-07 |
| 1649240698 | Piedmont Access To Health Services Inc | Clinic/Center | 705 Main St, Danville, VA 24541-1803 | 2006-01-24 |
| Find all providers in DANVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.