Aunt Martha'S Health and Wellness

Organization Active NPI Federally Qualified Health Center (FQHC) · Rockford, IL

NPI 1043746720 · NPPES record last updated May 26, 2026

Key facts

NPI
1043746720
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
AUNT MARTHA'S HEALTH AND WELLNESS
Practice address
1401 E State St Ste 3000
Rockford, IL 61104-2315
Phone
(877) 692-8686
NPI assigned
May 2, 2017
Organization subpart
No

Authorized official

Name
Audrey Pennington
Title
Coo
Phone
(773) 802-7645

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2134322Aunt Martha'S Rockford
1401 E State Street, Suite 3000, Rockford, IL 61104
Provider-performed microscopyJul 30, 2027

National Provider Directory

Tax ID family
Aunt Marthas (74 organizations share this tax ID)

Locations

1401 E State St
Ste 3000
Rockford, IL 61104

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/auntmarthas/r4/
  • FHIR API: https://api.platform.athenahealth.com/13826/brand/4/csg/21/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

1401 E State St Ste 3000
Rockford, IL 61104-2315

Mailing address

19990 Governors Hwy
Olympia Fields, IL 60461-1021
Phone (708) 747-7100

Other names

  • Aunt Martha's Rockford Community Health Center Doing business as

Other providers in Rockford, IL

All providers in Rockford, IL · Federally Qualified Health Center (FQHC) in Illinois

Sources for this page

Verify at the official NPI Registry.