VILLIAGE OF FAIRHAVEN; NPI #1598740185

Contact Information

VILLIAGE OF FAIRHAVEN

14447 FAIR HAVEN RD
FAIR HAVEN, NY 13064

Phone: 315-947-5145
Fax: 315-947-5728
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for VILLIAGE OF FAIRHAVEN

NPI Number 1598740185

LBN Legal business name VILLIAGE OF FAIRHAVEN

Authorized official PATRICIA CRAINE - (TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/07/2005

Last updated 12/16/2025 - About 6 months ago

Identifiers

NY	License #	10340
NY	Medicaid	02145077
	Other	353927	MVP
	Other	590014704	PALMETTO GBA RAILROAD

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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VILLIAGE OF FAIRHAVEN

Contact Information

Specialty

Ambulance

NPI Profile & details for VILLIAGE OF FAIRHAVEN

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