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CH05972AU AUNT MARTHA'S HEALTH & WELLNESS, INC. (Active)
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Main Details
Name
AUNT MARTHA'S HEALTH & WELLNESS, INC.
Subdivision Name
Aunt Martha's Rockford Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019327
340B ID
CH05972AU
Grant Number
H80CS00685
Additional Details
Current Program Status
Active
Registration Date
1/15/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/22/2019
Last Recertification Date
2/11/2025
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
1401 East State Street, Suite 3000
Rockford, IL 61104
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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