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
Phone: (701) 577-6337
Fax: (701) 577-4867
Website:
Health care specialties
| Specialty | Code | License # | 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 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 | 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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