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Contact Information

23 FAIR STREET OPERATIONS LLC
23 FAIR ST
BRISTOL, CT06010-5531
 Phone: 860-589-2923
 Fax: 860-589-2924
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
Indicates primary specialty

NPI Profile & details for 23 FAIR STREET OPERATIONS LLC

NPI Number 1912382185
LBN Legal business name 23 FAIR STREET OPERATIONS LLC
Authorized official MICHAEL BERG - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/29/2015
Last updated 05/20/2016 - About 10 years ago
Identifiers
CT License # 0000
CT License # 00000
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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