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Contact Information

FOUNTAIN HOUSE, INC.
425 W 47TH ST
NEW YORK, NY10036-2304
 Phone: 212-582-0340
 Fax: 212-957-1424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for FOUNTAIN HOUSE, INC.

NPI Number 1578642054
LBN Legal business name FOUNTAIN HOUSE, INC.
Authorized official KENNETH ZIMMERMAN - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2006
Last updated 08/27/2024 - More than a year ago
Identifiers
NY License # 01303502
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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