Aunt Martha'S Rockford Community Health Center

LBN: Aunt Martha'S Health And Wellness
Aunt Martha'S Rockford Community Health Center is an health care organization with primary practice located at 345 Executive Pkwy Ste L1 , Rockford IL 61107-5291. 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 Health And Wellness can be contacted via phone (877) 692-8686, or through Pennington, Audrey via phone (773) 802-7645.

Contact Information

Primary practice address
345 Executive Pkwy Ste L1 Rockford IL 61107-5291
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 1043746720
LBN Legal business name Aunt Martha'S Health And Wellness
DBA Doing business as Aunt Martha'S Rockford Community Health Center
Authorized official Pennington, Audrey
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2017
Last updated Sep 29th, 2023 - about last year

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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