Fairfield County Health & Wellness Services Ii Llc

LBN: Fairfield County Health & Wellness Services Ii Llc
Fairfield County Health & Wellness Services Ii Llc is an health care organization with primary practice located at 325 Reef Road/Suite 109 , Fairfield CT 06824. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Ambulatory Health Care Facilities / Adult Mental Health. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Fairfield County Health & Wellness Services Ii Llc can be contacted via phone (203) 955-1821, or through Jean, Carine via phone (203) 671-3587.

Contact Information

Primary practice address
325 Reef Road/Suite 109 Fairfield CT 06824
Phone: (203) 955-1821
Fax: (203) 955-1823
Website:
Map and Directions
Authorized official contact:
Name: Jean, Carine Doctor of Medicine (MD)
Phone: (203) 671-3587

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 033954 Connecticut
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 033954 Connecticut
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 033954 Connecticut

Profile Details

NPI number 1811426695
LBN Legal business name Fairfield County Health & Wellness Services Ii Llc
DBA Doing business as
Authorized official Jean, Carine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2017
Last updated Jun 6th, 2017 - about 9 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 1811426695 NPPES
Connecticut MEDICAID 260003450

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