Fairway Medical Associates Pc

LBN: Fairway Medical Associates Pc
Fairway Medical Associates Pc is an health care organization with primary practice located at 144 S 8Th St Suite 111, Chambersburg PA 17201-2767. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fairway Medical Associates Pc can be contacted via phone (717) 264-6511, or through Bricker, Samuel Q via phone (717) 264-6511.

Contact Information

Primary practice address
144 S 8Th St Suite 111 Chambersburg PA 17201-2767
Phone: (717) 264-6511
Fax: (717) 264-1081
Website:
Map and Directions
Authorized official contact:
Name: Bricker, Samuel Q Doctor of Medicine (MD)
Phone: (717) 264-6511

Health care specialties

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

Profile Details

NPI number 1164460135
LBN Legal business name Fairway Medical Associates Pc
DBA Doing business as
Authorized official Bricker, Samuel Q Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Oct 30th, 2014 - about 12 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 1164460135 NPPES
Pennsylvania MEDICAID 0009928520001

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