South Brookhaven Health Center West

LBN: County Of Suffolk
South Brookhaven Health Center West is an health care organization with primary practice located at 365 E Main St , Patchogue NY 11772-3145. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. County Of Suffolk can be contacted via phone (631) 854-1200, or through Tomarken, James L via phone (631) 854-0100.

Contact Information

Primary practice address
365 E Main St Patchogue NY 11772-3145
Phone: (631) 854-1200
Fax: (631) 854-1310
Website:
Map and Directions
Authorized official contact:
Name: Tomarken, James L MSW,MPH,MBA,FRCPC,FA
Phone: (631) 854-0100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1801990015
LBN Legal business name County Of Suffolk
DBA Doing business as South Brookhaven Health Center West
Authorized official Tomarken, James L MSW,MPH,MBA,FRCPC,FA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Oct 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801990015 NPPES
New York MEDICAID 03003692

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