Open Door Family Medical Center, Inc.

LBN: Open Door Family Medical Center, Inc.
Open Door Family Medical Center, Inc. is an health care organization with primary practice located at 30 W Main St , Mount Kisco NY 10549-1910. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Open Door Family Medical Center, Inc. can be contacted via phone (914) 666-3272, or through Farrell, Lindsay C. via phone (914) 502-1450.

Contact Information

Primary practice address
30 W Main St Mount Kisco NY 10549-1910
Phone: (914) 666-3272
Fax: (914) 666-3263
Website:
Map and Directions
Authorized official contact:
Name: Farrell, Lindsay C. MBA, FACMPE
Phone: (914) 502-1450

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 5905200R New York

Profile Details

NPI number 1629237151
LBN Legal business name Open Door Family Medical Center, Inc.
DBA Doing business as
Authorized official Farrell, Lindsay C. MBA, FACMPE
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 9th, 2008
Last updated Feb 1st, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629237151 NPPES
New York MEDICAID 03003596

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