Provider Demographics
NPI:1770105843
Name:FAY, FAY AND STEVENS INC.
Entity type:Organization
Organization Name:FAY, FAY AND STEVENS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLEZAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-810-6432
Mailing Address - Street 1:2640 BIEHN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-1181
Mailing Address - Country:US
Mailing Address - Phone:541-810-6432
Mailing Address - Fax:541-833-5264
Practice Address - Street 1:1201 THOMASON LN
Practice Address - Street 2:
Practice Address - City:ALTURAS
Practice Address - State:CA
Practice Address - Zip Code:96101-3150
Practice Address - Country:US
Practice Address - Phone:530-233-2020
Practice Address - Fax:530-233-5430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty