Fairway Pediatrics Llc

LBN: Fairway Pediatrics Llc
Fairway Pediatrics Llc is an health care organization with primary practice located at 7020 Highway 190 Suite C, Covington LA 70433-4954. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Fairway Pediatrics Llc can be contacted via phone (985) 871-7337, or through Quarls, Kathryn via phone (985) 871-7337.

Contact Information

Primary practice address
7020 Highway 190 Suite C Covington LA 70433-4954
Fax: (985) 871-7600
Website:
Authorized official contact:
Name: Quarls, Kathryn Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1245275809
LBN Legal business name Fairway Pediatrics Llc
DBA Doing business as
Authorized official Quarls, Kathryn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1245275809 NPPES
Louisiana MEDICAID 1947377

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