Dedicated Pennsylvania Mayfair

LBN: Dedicated Pennsylvania Holding, Llc
Dedicated Pennsylvania Mayfair is an health care organization with primary practice located at 6431 Sackett St , Philadelphia PA 19149-3118. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Primary Care, Suppliers / Non-Pharmacy Dispensing Site. Other Service Providers / Specialist is the primary health care specialty. Dedicated Pennsylvania Holding, Llc can be contacted via phone (305) 628-6117, or through Jimenez, Raymond via phone (786) 870-4039.

Contact Information

Primary practice address
6431 Sackett St Philadelphia PA 19149-3118
Phone: (305) 628-6117
Fax: (305) 363-5989
Website:
Map and Directions
Authorized official contact:
Name: Jimenez, Raymond
Phone: (786) 870-4039

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1477053569
LBN Legal business name Dedicated Pennsylvania Holding, Llc
DBA Doing business as Dedicated Pennsylvania Mayfair
Authorized official Jimenez, Raymond
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 15th, 2018
Last updated Mar 27th, 2018 - about 7 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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