FAMILY CARE MEDICAL CENTER NPI 1598962797

NPI Information

NPI: 1598962797
Provider Name: FAMILY CARE MEDICAL CENTER
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
6144 ROUTE 25A
BLDG C SUITE 10
WADING RIVER, NY
ZIP 11792
Phone: (631) 929-5900
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FAMILY CARE MEDICAL CENTER is an urgent care clinic center in Wading River, NY. FAMILY CARE MEDICAL CENTER NPI is 1598962797. The provider is registered as an organization entity type.

The provider's business location address is:

6144 ROUTE 25A
BLDG C SUITE 10
WADING RIVER, NY
ZIP 11792-018
Phone: (631) 929-5900
Fax: (631) 929-6487

The provider's authorized official is Robert Bernard .
The authorized official title is M.d.p.c. and has the following contact phone number (631) 929-5900.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 8/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	178451	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	178451	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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