Fountain Square Internal Medicine

LBN: Fountain Square Internal Medicine
Fountain Square Internal Medicine is an health care organization with primary practice located at 1315 2Nd St Sw Ste 101, Roanoke VA 24016-4935. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Fountain Square Internal Medicine can be contacted via phone (540) 344-5550, or through Malpass, Michael Alan via phone (540) 344-5550.

Contact Information

Primary practice address
1315 2Nd St Sw Ste 101 Roanoke VA 24016-4935
Phone: (540) 344-5550
Fax: (540) 344-5205
Website:
Map and Directions
Authorized official contact:
Name: Malpass, Michael Alan Doctor of Medicine (MD)
Phone: (540) 344-5550

Health care specialties

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

Profile Details

NPI number 1215090683
LBN Legal business name Fountain Square Internal Medicine
DBA Doing business as
Authorized official Malpass, Michael Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Jan 28th, 2010 - about 16 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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