Fairfield Road Physician Office
LBN: Mvhe Inc
Fairfield Road Physician Office is an health care organization with primary practice located at 722 N Fairfield Rd , Beavercreek OH 45434-5918. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Mvhe Inc can be contacted via phone (937) 208-7000, or through Prunier, Kenneth via phone (937) 208-8213.
Contact Information
Primary practice address
722 N Fairfield Rd
Beavercreek OH 45434-5918
Phone: (937) 208-7000
Fax: (937) 208-7010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1124072004 |
|---|---|
| LBN Legal business name | Mvhe Inc |
| DBA Doing business as | Fairfield Road Physician Office |
| Authorized official | Prunier, Kenneth |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 22nd, 2006 |
| Last updated | Nov 6th, 2013 - about 12 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 | 1124072004 | NPPES |
| Ohio | MEDICAID | 0964550 |
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