Fidelis Care New York

LBN: New York State Catholic Health Plan, Inc.
Fidelis Care New York is an health care organization with primary practice located at 9525 Queens Blvd 8Th Fl, Rego Park NY 11374-4510. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. New York State Catholic Health Plan, Inc. can be contacted via phone (718) 896-6500, or through Lane, Mark L via phone (718) 896-6500.

Contact Information

Primary practice address
9525 Queens Blvd 8Th Fl Rego Park NY 11374-4510
Phone: (718) 896-6500
Fax: (718) 896-2755
Website:
Map and Directions
Authorized official contact:
Name: Lane, Mark L
Phone: (718) 896-6500

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X C-027194 New York

Profile Details

NPI number 1205111861
LBN Legal business name New York State Catholic Health Plan, Inc.
DBA Doing business as Fidelis Care New York
Authorized official Lane, Mark L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2011
Last updated Oct 28th, 2011 - about 15 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 1205111861 NPPES
New York MEDICAID C-027194

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