Gustavus Adolphus Child & Family Services

LBN: Gustavus Adolphus Child & Family Services
Gustavus Adolphus Child & Family Services is an health care organization with primary practice located at 705 Falconer St , Jamestown NY 14701-1935. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Gustavus Adolphus Child & Family Services can be contacted via phone (716) 665-2116, or through Beckwith, Jason via phone (716) 665-8161.

Contact Information

Primary practice address
705 Falconer St Jamestown NY 14701-1935
Phone: (716) 665-2116
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beckwith, Jason
Phone: (716) 665-8161

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1023206646
LBN Legal business name Gustavus Adolphus Child & Family Services
DBA Doing business as
Authorized official Beckwith, Jason
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 2007 - 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 1023206646 NPPES
New York MEDICAID 00356547

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