Fernan Family Practice

LBN: Fernan Family Practice
Fernan Family Practice is an health care organization with primary practice located at 200 S. Mill St. , Ridgway PA 15853. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fernan Family Practice can be contacted via phone (814) 772-0722, or through Fernan, Kathlee M via phone (814) 772-0722.

Contact Information

Primary practice address
200 S. Mill St. Ridgway PA 15853
Phone: (814) 772-0722
Fax: (814) 772-6934
Website:
Map and Directions
Authorized official contact:
Name: Fernan, Kathlee M Doctor of Osteopathy (DO)
Phone: (814) 772-0722

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS013170 Pennsylvania

Profile Details

NPI number 1659608982
LBN Legal business name Fernan Family Practice
DBA Doing business as
Authorized official Fernan, Kathlee M Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2009
Last updated Jan 13th, 2015 - about 9 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 1659608982 NPPES
Pennsylvania MEDICAID 101638607 0006

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