Fairway Primary Care, Llc

LBN: Fairway Primary Care, Llc
Fairway Primary Care, Llc is an health care organization with primary practice located at 2950 Fairway Dr Suite 2, Altoona PA 16602-4457. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Fairway Primary Care, Llc can be contacted via phone (814) 942-9494, or through Kifer, Melissa Ann via phone (814) 942-9494.

Contact Information

Primary practice address
2950 Fairway Dr Suite 2 Altoona PA 16602-4457
Phone: (814) 942-9494
Fax: (814) 942-4399
Website:
Map and Directions
Authorized official contact:
Name: Kifer, Melissa Ann
Phone: (814) 942-9494

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS010770L Pennsylvania

Profile Details

NPI number 1225169733
LBN Legal business name Fairway Primary Care, Llc
DBA Doing business as
Authorized official Kifer, Melissa Ann
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Nov 14th, 2007 - about 19 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 1225169733 NPPES
Pennsylvania Other DB9443 RAILROAD MEDICARE

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