Raystown Podiatry Llc

LBN: Raystown Podiatry Llc
Raystown Podiatry Llc is an health care organization with primary practice located at 1201 Moore St , Huntingdon PA 16652-1826. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Raystown Podiatry Llc can be contacted via phone (814) 643-1720, or through Carlson-Little, Tammy E. via phone (814) 643-1720.

Contact Information

Primary practice address
1201 Moore St Huntingdon PA 16652-1826
Phone: (814) 643-1720
Fax: (814) 643-4953
Website:
Map and Directions
Authorized official contact:
Name: Carlson-Little, Tammy E. Doctor of Podiatric Medicine (DPM)
Phone: (814) 643-1720

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1588716096
LBN Legal business name Raystown Podiatry Llc
DBA Doing business as
Authorized official Carlson-Little, Tammy E. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Mar 15th, 2010 - about 14 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 1588716096 NPPES
Pennsylvania MEDICAID 1019577160001
Pennsylvania Other 1956490
Pennsylvania Other 01489224
Pennsylvania Other 323538
Pennsylvania Other 0007621509
Pennsylvania Other P00278620

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