Bristol Street Family Practice

LBN: Richard A Hastings Md
Bristol Street Family Practice is an health care organization with primary practice located at 609 W Bristol St , Elkhart IN 46514-2900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Richard A Hastings Md can be contacted via phone (574) 262-2817, or through Hastings, Richard Allen via phone (574) 262-2817.

Contact Information

Primary practice address
609 W Bristol St Elkhart IN 46514-2900
Phone: (574) 262-2817
Fax: (574) 262-2941
Website:
Map and Directions
Authorized official contact:
Name: Hastings, Richard Allen Doctor of Medicine (MD)
Phone: (574) 262-2817

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01027071A Indiana

Profile Details

NPI number 1467510966
LBN Legal business name Richard A Hastings Md
DBA Doing business as Bristol Street Family Practice
Authorized official Hastings, Richard Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Jun 12th, 2008 - 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 1467510966 NPPES
Indiana MEDICAID 100112380A

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