| Innovative Physician Services Llc | |
|
490 Page Blvd Springfield MA 01104-3026 | |
| (413) 349-5033 | |
| (413) 363-9123 |
| Full Name | Innovative Physician Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 490 Page Blvd, Springfield, Massachusetts |
| Authorized Official Name and Position | Juan J Salgado (ADMIN) |
| Authorized Official Contact | 4133495033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Physician Services Llc 95 Frank B Murray St Springfield MA 01103-1106 Ph: (413) 349-5033 | Innovative Physician Services Llc 490 Page Blvd Springfield MA 01104-3026 Ph: (413) 349-5033 |
| NPI Number | 1366269649 |
|---|---|
| Provider Enumeration Date | 09/26/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366269649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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