NPIMap

Organization Active NPI

MH Health Care Services, PC

  • Primary Care Clinic/Center
  • Machesney Park, IL
National Provider Identifier
1346092178
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MH HEALTH CARE SERVICES, PC
Practice address
1 Huskie Circle
Machesney Park, IL 61115
Phone
(866) 434-3255
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeff Wells, MD
Title
Ceo
Phone
(866) 434-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1 Huskie Circle
Machesney Park, IL 61115

Mailing address

10 W Market St Ste 2900
Indianapolis, IN 46204-2964
Phone (866) 434-3255

Other names 1

  • Harlem 122 Health Clinic Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2307968Harlem 122 Health Clinic1 Huskie Circle, Machesney Park, IL 61115Certificate of waiverJul 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
MH Health Care Services PC151 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 10

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722124800000",
    "number": "1346092178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARKET ST STE 2900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042964",
            "telephone_number": "866-434-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUSKIE CIRCLE",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "61115",
            "telephone_number": "866-434-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH HEALTH CARE SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-434-3255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harlem 122 Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Machesney Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.