Fccnysarc

LBN: Fccnysarc
Fccnysarc is an health care organization with primary practice located at 465 N Perry St , Johnstown NY 12095-1014. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Fccnysarc can be contacted via phone (518) 773-7931, or through Johnston, Matthew via phone (518) 773-7931.

Contact Information

Primary practice address
465 N Perry St Johnstown NY 12095-1014
Phone: (518) 773-7931
Fax: (518) 725-2850
Website:
Map and Directions
Authorized official contact:
Name: Johnston, Matthew
Phone: (518) 773-7931

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1558411140
LBN Legal business name Fccnysarc
DBA Doing business as
Authorized official Johnston, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 31st, 2008 - about 17 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 1558411140 NPPES
New York MEDICAID 00931282

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