Pathfinder Village, Inc

LBN: Pathfinder Village, Inc
Pathfinder Village, Inc is an health care organization with primary practice located at 3 Chenango Road , Edmeston NY 13335. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Pathfinder Village, Inc can be contacted via phone (607) 965-8377, or through Shafer, Edward A via phone (607) 965-8377.

Contact Information

Primary practice address
3 Chenango Road Edmeston NY 13335
Fax: (607) 965-8655
Website:
Authorized official contact:
Name: Shafer, Edward A

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X 0493493 New York

Profile Details

NPI number 1821284480
LBN Legal business name Pathfinder Village, Inc
DBA Doing business as
Authorized official Shafer, Edward A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Sep 18th, 2007 - about 17 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 1821284480 NPPES
New York MEDICAID 02248346
New York MEDICAID 02004548

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