Fairfield Ave Family Practice

LBN: Fairfield Ave Family Practice
Fairfield Ave Family Practice is an health care organization with primary practice located at 226 Fairfield Ave , Johnstown PA 15906-2310. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fairfield Ave Family Practice can be contacted via phone (814) 535-6167, or through Kowtoniuk, Carol Elizabeth via phone (814) 535-6167.

Contact Information

Primary practice address
226 Fairfield Ave Johnstown PA 15906-2310
Phone: (814) 535-6167
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kowtoniuk, Carol Elizabeth Doctor of Osteopathy (DO)
Phone: (814) 535-6167

Health care specialties

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

Profile Details

NPI number 1114130929
LBN Legal business name Fairfield Ave Family Practice
DBA Doing business as
Authorized official Kowtoniuk, Carol Elizabeth Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Mar 3rd, 2016 - about 10 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 1114130929 NPPES
Pennsylvania MEDICAID 1007300380005

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