Martins Foods Of South Burlington Llc

LBN: Martins Foods Of South Burlington Llc
Martins Foods Of South Burlington Llc is an health care organization with primary practice located at 27 41 Ganesvoort Rd , S Glens Falls NY 12803. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Martins Foods Of South Burlington Llc can be contacted via phone (518) 798-2847, or through Vail, Michael via phone (207) 885-7454.

Contact Information

Primary practice address
27 41 Ganesvoort Rd S Glens Falls NY 12803
Fax: (518) 798-2913
Website:
Authorized official contact:
Name: Vail, Michael

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 027784 New York

Profile Details

NPI number 1558443069
LBN Legal business name Martins Foods Of South Burlington Llc
DBA Doing business as
Authorized official Vail, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Apr 20th, 2018 - about 6 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 1558443069 NPPES
Other 2067662 PK
MEDICAID 02753900 PK

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