Faulkner Emergency Associates, Pc

LBN: Faulkner Emergency Associates, Pc
Faulkner Emergency Associates, Pc is an health care organization with primary practice located at 1153 Centre St , Jamaica Plain MA 02130-3446. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as the primary health care specialty. Faulkner Emergency Associates, Pc can be contacted via phone (617) 983-7132, or through Larson, Richard via phone (617) 983-7132.

Contact Information

Primary practice address
1153 Centre St Jamaica Plain MA 02130-3446
Phone: (617) 983-7132
Fax: (617) 983-7834
Website:
Map and Directions
Authorized official contact:
Name: Larson, Richard Doctor of Medicine (MD)
Phone: (617) 983-7132

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X

Profile Details

NPI number 1558422055
LBN Legal business name Faulkner Emergency Associates, Pc
DBA Doing business as
Authorized official Larson, Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 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 1558422055 NPPES
Massachusetts MEDICAID 9783466
Massachusetts Other M16935

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