Holy Family Pediatrics

LBN: Holy Family Pediatrics
Holy Family Pediatrics is an health care organization with primary practice located at 359 Forest Ave Suite 106, Dayton OH 45405-4563. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Holy Family Pediatrics can be contacted via phone (937) 586-9665, or through Moell, Michael Anthony via phone (937) 586-9665.

Contact Information

Primary practice address
359 Forest Ave Suite 106 Dayton OH 45405-4563
Phone: (937) 586-9665
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moell, Michael Anthony Doctor of Medicine (MD)
Phone: (937) 586-9665

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35062607-M Ohio

Profile Details

NPI number 1871716258
LBN Legal business name Holy Family Pediatrics
DBA Doing business as
Authorized official Moell, Michael Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Mar 27th, 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 1871716258 NPPES
Ohio MEDICAID 2748736

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