Fairbanks

LBN: Fairbanks Hospital, Inc.
Fairbanks is an health care organization with primary practice located at 8102 Clearvista Pkwy , Indianapolis IN 46256-1661. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Hospitals / Psychiatric Hospital. Hospitals / Psychiatric Hospital is the primary health care specialty. Fairbanks Hospital, Inc. can be contacted via phone (317) 849-8222, or through Millard, Holly A via phone (317) 355-5860.

Contact Information

Primary practice address
8102 Clearvista Pkwy Indianapolis IN 46256-1661
Phone: (317) 849-8222
Fax: (317) 849-1455
Website:
Map and Directions
Authorized official contact:
Name: Millard, Holly A
Phone: (317) 355-5860

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Hospitals / Psychiatric Hospital 283Q00000X 835-1-P1P Indiana

Profile Details

NPI number 1619072493
LBN Legal business name Fairbanks Hospital, Inc.
DBA Doing business as Fairbanks
Authorized official Millard, Holly A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 13th, 2020 - about 4 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 1619072493 NPPES
Indiana MEDICAID 100273450A

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