HARLEM 122 HEALTH CLINIC
NPI 1346092178
Clinic/Center - Primary Care in Machesney Park, IL

Active since April 04, 2024CLIA 14D2307968 · Waiver
1 HUSKIE CIRCLE, MACHESNEY PARK, IL 61115(866) 434-3255 Get Directions Write a Review

NPPES record last updated: July 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2024, Apr 4, 2024 (2 updates tracked since 2024).

About Harlem 122 Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARLEM 122 HEALTH CLINIC (NPI 1346092178) is a healthcare organization registered as a primary care in Machesney Park, Illinois and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Jeff Wells, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346092178
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMH HEALTH CARE SERVICES, PC
Location Address1 HUSKIE CIRCLEMachesney Park, IL 61115
Mailing Address10 W Market St Ste 2900Indianapolis, IN 46204-2964 · (866) 434-3255
Organization SubpartNo
Authorized OfficialJeff WellsCeo · (866) 434-3255
Enumeration DateApril 4, 2024
Last NPPES UpdateJuly 28, 20242 updates tracked since enumeration
NPPES CertifiedJuly 28, 2024
NPI 1346092178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1 HUSKIE CIRCLE, Machesney Park, IL 61115

Other Names 1

Other NameHarlem 122 Health Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2307968

Harlem 122 Health Clinic · Machesney Park, IL
Active · expires Jul 17, 2028
CLIA Number14D2307968
Laboratory TypeOniste Employer Health Ct
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorBrian Johnson
Laboratory Phone(802) 857-0400
Laboratory LocationHarlem 122 Health Clinic1 Huskie Circle, Machesney Park, IL 61115
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mh Health Care Services, PC's NPI number?

The NPI number for Mh Health Care Services, PC is 1346092178. It was assigned to this organization in the NPPES registry on April 4, 2024. The provider is also known as Harlem 122 Health Clinic.

Where is Mh Health Care Services, PC located?

Mh Health Care Services, PC is located at 1 Huskie Circle, Machesney Park, IL 61115. The listed phone number is (866) 434-3255.

What is Mh Health Care Services, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Mh Health Care Services, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2307968) is associated with this NPI, valid through July 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mh Health Care Services, PC was last updated on July 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.