Port City Family Medicine P.C. Inc
LBN: Port City Family Medicine P.C. Inc
Port City Family Medicine P.C. Inc is an health care organization with primary practice located at 33 E Schuyler St , Oswego NY 13126-1161. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Port City Family Medicine P.C. Inc can be contacted via phone (315) 343-6974, or through Varnum, Corliss Adam via phone (315) 343-6974.
Contact Information
Primary practice address
33 E Schuyler St
Oswego NY 13126-1161
Phone: (315) 343-6974
Fax: (315) 342-3625
Website:
Authorized official contact:
Name: Varnum, Corliss Adam Doctor of Medicine (MD)
Phone: (315) 343-6974
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1215028055 |
|---|---|
| LBN Legal business name | Port City Family Medicine P.C. Inc |
| DBA Doing business as | |
| Authorized official | Varnum, Corliss Adam Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Mar 15th, 2019 - about 5 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 | 1215028055 | NPPES |
| New York | MEDICAID | 00964989 |
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