Grady D. Gafford Md Pc

LBN: Grady D. Gafford Md Pc
Grady D. Gafford Md Pc is an health care organization with primary practice located at 15 Meade St Suite 1, Wellsboro PA 16901-1813. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Grady D. Gafford Md Pc can be contacted via phone (570) 724-2131, or through Strahota, Colleen K. via phone (570) 724-2131.

Contact Information

Primary practice address
15 Meade St Suite 1 Wellsboro PA 16901-1813
Fax: (570) 724-5471
Website:
Authorized official contact:
Name: Strahota, Colleen K.

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000806 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD025213E Pennsylvania

Profile Details

NPI number 1184635286
LBN Legal business name Grady D. Gafford Md Pc
DBA Doing business as
Authorized official Strahota, Colleen K.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Oct 7th, 2009 - about 17 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 1184635286 NPPES
Pennsylvania MEDICAID 001045419

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