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Contact Information

NURSING CARE CENTER AT MEDFORD INC
3115 HORSEBLOCK RD
MEDFORD, NY11763
 Phone: 631-730-3016
 Fax: 631-730-3131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for NURSING CARE CENTER AT MEDFORD INC

NPI # 1679563464
LBN Legal business name NURSING CARE CENTER AT MEDFORD INC
Authorized official MICHAEL LEAHY - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2005
Last updated 04/14/2010 - About 16 years ago
Identifiers
NY License # 5151319N
NY Medicaid 02357679
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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