Mountain Medical Pediatrics

LBN: Mountain Medical Pediatrics
Mountain Medical Pediatrics is an health care organization with primary practice located at 1927 Saranac Ave , Saranac Lake NY 12983. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mountain Medical Pediatrics can be contacted via phone (518) 523-7575, or through Wallace, Keri via phone (518) 523-7575.

Contact Information

Primary practice address
1927 Saranac Ave Saranac Lake NY 12983
Phone: (518) 523-7575
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Keri
Phone: (518) 523-7575

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 236345 New York

Profile Details

NPI number 1821210352
LBN Legal business name Mountain Medical Pediatrics
DBA Doing business as
Authorized official Wallace, Keri
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Feb 18th, 2008 - about 18 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 1821210352 NPPES
New York MEDICAID 02752954

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