Fundamental Health, Inc
LBN: Fundamental Health, Inc
Fundamental Health, Inc is an health care organization with primary practice located at 1221 S Creasy Ln Ste K3 , Lafayette IN 47905-7430. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Fundamental Health, Inc can be contacted via phone (765) 838-2310, or through Miranda, Julie Christine via phone (765) 838-2310.
Contact Information
Primary practice address
1221 S Creasy Ln Ste K3
Lafayette IN 47905-7430
Phone: (765) 838-2310
Fax: (765) 838-1035
Website:
Authorized official contact:
Name: Miranda, Julie Christine Licensed Practical Nurse (LPN)
Phone: (765) 838-2310
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X |
Profile Details
| NPI number | 1114529237 |
|---|---|
| LBN Legal business name | Fundamental Health, Inc |
| DBA Doing business as | |
| Authorized official | Miranda, Julie Christine Licensed Practical Nurse (LPN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 13th, 2020 |
| Last updated | Feb 26th, 2021 - about 3 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 | 1114529237 | NPPES |
| Indiana | Other | 1942753082 | NPI |
| Indiana | Other | 1114529237 | NPI |
| Indiana | Other | 1659312759 | NPI |
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