Kettle Creek Outfitters Ltd

LBN: Kettle Creek Outfitters Ltd
Kettle Creek Outfitters Ltd is an health care organization with primary practice located at 88 Quiet Oaks Campground Ln , Cross Fork PA 17729-9430. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Kettle Creek Outfitters Ltd can be contacted via phone (570) 502-2919, or through Flack, David Ralph via phone (570) 502-2919.

Contact Information

Primary practice address
88 Quiet Oaks Campground Ln Cross Fork PA 17729-9430
Phone: (570) 502-2919
Fax: (570) 923-1799
Website:
Map and Directions
Authorized official contact:
Name: Flack, David Ralph
Phone: (570) 502-2919

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1700408390
LBN Legal business name Kettle Creek Outfitters Ltd
DBA Doing business as
Authorized official Flack, David Ralph
Entity Organization
Organization subpart 1 Yes
Enumeration date May 18th, 2020
Last updated May 18th, 2020 - about 4 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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