Fairfield Family Practice Pc

LBN: Fairfield Family Practice Pc
Fairfield Family Practice Pc is an health care organization with primary practice located at 1300 Sheridan Street Suite 1, Williamsport PA 17701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fairfield Family Practice Pc can be contacted via phone (570) 601-6202, or through Pellegrino, John A via phone (570) 368-2002.

Contact Information

Primary practice address
1300 Sheridan Street Suite 1 Williamsport PA 17701
Phone: (570) 601-6202
Fax: (570) 368-2064
Website:
Map and Directions
Authorized official contact:
Name: Pellegrino, John A Doctor of Osteopathy (DO)
Phone: (570) 368-2002

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DS008076L Pennsylvania

Profile Details

NPI number 1952409898
LBN Legal business name Fairfield Family Practice Pc
DBA Doing business as
Authorized official Pellegrino, John A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 22nd, 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 1952409898 NPPES
Pennsylvania MEDICAID 0075301990002

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