Fairlight Medical Center

LBN: Williston Radiology Consultants Pc
Fairlight Medical Center is an health care organization with primary practice located at 3 4Th St E Suite 201, Williston ND 58801-5350. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Williston Radiology Consultants Pc can be contacted via phone (701) 577-6337, or through Jaszczak, Leszek via phone (701) 577-6337.

Contact Information

Primary practice address
3 4Th St E Suite 201 Williston ND 58801-5350
Fax: (701) 577-4867
Website:
Authorized official contact:
Name: Jaszczak, Leszek Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 261QU0200X North Dakota

Profile Details

NPI number 1215260955
LBN Legal business name Williston Radiology Consultants Pc
DBA Doing business as Fairlight Medical Center
Authorized official Jaszczak, Leszek Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2009
Last updated Mar 13th, 2020 - about 4 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 1215260955 NPPES
North Dakota Other 261QU0200X TAXONOMY
North Dakota MEDICAID 010182 TAXONOMY
North Dakota MEDICAID 0406731 TAXONOMY
North Dakota Other 621111 TAXONOMY
North Dakota Other 109956169 TAXONOMY
North Dakota Other 2699617243 TAXONOMY

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