D/B/A Middleport Family Health Center
LBN: Moden Giroux Inc
D/B/A Middleport Family Health Center is an health care organization with primary practice located at 81 Rochester Rd , Middleport NY 14105-9638. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Moden Giroux Inc can be contacted via phone (716) 735-3261, or through Giroux, Stephen via phone (716) 735-3261.
Contact Information
Primary practice address
81 Rochester Rd
Middleport NY 14105-9638
Phone: (716) 735-3261
Fax: (716) 735-3351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 017837 | New York |
Suppliers / Compounding Pharmacy | 3336C0004X | ||
Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
NPI number | 1073602017 |
---|---|
LBN Legal business name | Moden Giroux Inc |
DBA Doing business as | D/B/A Middleport Family Health Center |
Authorized official | Giroux, Stephen RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 11th, 2006 |
Last updated | Feb 28th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073602017 | NPPES |
New York | MEDICAID | 00775966 | |
New York | Other | 2061795 |
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