Ft. Wadsworth Family Health Center

LBN: Saint Vincent Catholic Medical Center
Ft. Wadsworth Family Health Center is an health care organization with primary practice located at 206 Drum Rd , Staten Island NY 10305-5079. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Saint Vincent Catholic Medical Center can be contacted via phone (718) 442-4158, or through Burkhart, John via phone (212) 356-4903.

Contact Information

Primary practice address
206 Drum Rd Staten Island NY 10305-5079
Phone: (718) 442-4158
Fax: (718) 447-1325
Website:
Map and Directions
Authorized official contact:
Name: Burkhart, John Doctor of Medicine (MD)
Phone: (212) 356-4903

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 7002037H New York

Profile Details

NPI number 1356675961
LBN Legal business name Saint Vincent Catholic Medical Center
DBA Doing business as Ft. Wadsworth Family Health Center
Authorized official Burkhart, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2009
Last updated Sep 29th, 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 1356675961 NPPES
New York MEDICAID 00243229

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