Mindcare Agency Pc

LBN: Mindcare Agency Pc
Mindcare Agency Pc is an health care organization with primary practice located at 125 Liberty St Suite 205, Springfield MA 01103-1114. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Mindcare Agency Pc can be contacted via phone (413) 271-7136, or through Faruk, Omar via phone (413) 271-7136.

Contact Information

Primary practice address
125 Liberty St Suite 205 Springfield MA 01103-1114
Phone: (413) 271-7136
Fax: (413) 271-7137
Website:
Map and Directions
Authorized official contact:
Name: Faruk, Omar Doctor of Medicine (MD)
Phone: (413) 271-7136

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 223674 Massachusetts
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1730557018
LBN Legal business name Mindcare Agency Pc
DBA Doing business as
Authorized official Faruk, Omar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2015
Last updated Nov 18th, 2019 - 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 1730557018 NPPES
Massachusetts Other 223674 STATE LICENSE NUMBER

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