Fairlawn Primary Care, Inc
LBN: Fairlawn Primary Care, Inc
Fairlawn Primary Care, Inc is an health care organization with primary practice located at 886 Mineral Spring Ave , Pawtucket RI 02860-3322. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Fairlawn Primary Care, Inc can be contacted via phone (401) 475-3063, or through Fernandes, Holly via phone (401) 475-3063.
Contact Information
Primary practice address
886 Mineral Spring Ave
Pawtucket RI 02860-3322
Phone: (401) 475-3063
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 09843 | Rhode Island |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NPP37132 | Rhode Island |
Profile Details
| NPI number | 1508898909 |
|---|---|
| LBN Legal business name | Fairlawn Primary Care, Inc |
| DBA Doing business as | |
| Authorized official | Fernandes, Holly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508898909 | NPPES |
| Rhode Island | MEDICAID | 9003461 | |
| Rhode Island | MEDICAID | 7006714 |
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