Angelray Family Medical Llc

LBN: Angelray Family Medical Llc
Angelray Family Medical Llc is an health care organization with primary practice located at 215 W Centre St , Mahanoy City PA 17948-2505. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Angelray Family Medical Llc can be contacted via phone (570) 590-2573, or through O'Donnell, Kristin Marie via phone (570) 590-2573.

Contact Information

Primary practice address
215 W Centre St Mahanoy City PA 17948-2505
Phone: (570) 590-2573
Fax:
Website:
Map and Directions
Authorized official contact:
Name: O'Donnell, Kristin Marie MSN, CRNP
Phone: (570) 590-2573

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X SP009671 Pennsylvania

Profile Details

NPI number 1952681074
LBN Legal business name Angelray Family Medical Llc
DBA Doing business as
Authorized official O'Donnell, Kristin Marie MSN, CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2011
Last updated Aug 19th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952681074 NPPES
Pennsylvania MEDICAID 1021574590001
Pennsylvania Other 1104094291
Pennsylvania Other 11974651

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