D/B/A Middleport Family Health Center

LBN: Moden Giroux Inc
D/B/A Middleport Family Health Center is an health care organization with primary practice located at 81 Rochester Rd , Middleport NY 14105-9638. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Moden Giroux Inc can be contacted via phone (716) 735-3261, or through Giroux, Stephen via phone (716) 735-3261.

Contact Information

Primary practice address
81 Rochester Rd Middleport NY 14105-9638
Phone: (716) 735-3261
Fax: (716) 735-3351
Website:
Map and Directions
Authorized official contact:
Name: Giroux, Stephen RPH
Phone: (716) 735-3261

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 017837 New York
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1073602017
LBN Legal business name Moden Giroux Inc
DBA Doing business as D/B/A Middleport Family Health Center
Authorized official Giroux, Stephen RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Feb 28th, 2017 - about 9 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 1073602017 NPPES
New York MEDICAID 00775966
New York Other 2061795

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