Fairfield Community Supports

LBN: Fairfield Community Supports
Fairfield Community Supports is an health care organization with primary practice located at 15663 State Route 595 , Logan OH 43138-8850. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Fairfield Community Supports can be contacted via phone (740) 216-4807, or through Hoag, Jessica via phone (740) 216-4807.

Contact Information

Primary practice address
15663 State Route 595 Logan OH 43138-8850
Phone: (740) 216-4807
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hoag, Jessica
Phone: (740) 216-4807

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1073128534
LBN Legal business name Fairfield Community Supports
DBA Doing business as
Authorized official Hoag, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2020
Last updated Sep 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073128534 NPPES
Ohio MEDICAID 0303222

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