Fortyseven Main Street, Inc

LBN: 47 Main Street Corporation
Fortyseven Main Street, Inc is an health care organization with primary practice located at 706 Main Street , Castleton VT 05735-0038. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. 47 Main Street Corporation can be contacted via phone (800) 287-5325, or through Leenman, Willem via phone (802) 468-5325.

Contact Information

Primary practice address
706 Main Street Castleton VT 05735-0038
Phone: (800) 287-5325
Fax: (802) 468-5152
Website:
Map and Directions
Authorized official contact:
Name: Leenman, Willem MHSA
Phone: (802) 468-5325

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1134465784
LBN Legal business name 47 Main Street Corporation
DBA Doing business as Fortyseven Main Street, Inc
Authorized official Leenman, Willem MHSA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2012
Last updated Dec 28th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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