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FP60605 AUNT MARTHAS COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
AUNT MARTHAS COMMUNITY HEALTH CENTER
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP60605
Grant Number
FPHPA006459
Additional Details
Current Program Status
Active
Registration Date
1/15/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/3/2020
Last Recertification Date
5/10/2024
Contacts
Authorizing Official
Aunt Martha's
Audrey Pennington, Chief Operating Officer
(708) 747-7100
Primary Contact
Aunt Martha's Health & Wellness
Tamara Lim, VP Quality & Clinical Excellence
(708) 747-7100
Addresses
Street Address
2124 Ogden Ave.
Unit 201
AURORA, IL 60504
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (4/1/2010), until terminated effective date: (07/01/2019), reinstatement effective date: (04/01/2020)
01/29/2020
April 2025
April 2025
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