| Interfaith Social Services Inc | |
|
105 Adams St Quincy MA 02169-2004 | |
| (617) 773-6203 | |
| (617) 472-4987 |
| Full Name | Interfaith Social Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 105 Adams St, Quincy, Massachusetts |
| Authorized Official Name and Position | Beverly A Farrell (BUSINESS MANAGER) |
| Authorized Official Contact | 6177736203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interfaith Social Services Inc 105 Adams St Quincy MA 02169-2004 Ph: (617) 773-6203 | Interfaith Social Services Inc 105 Adams St Quincy MA 02169-2004 Ph: (617) 773-6203 |
| NPI Number | 1902074362 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 02/19/2008 |
| Medicare PECOS PAC ID | 4284532169 |
|---|---|
| Medicare Enrollment ID | O20031230000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902074362 | NPI | - | NPPES |
| 70010000P10048 | Other | MA | PROVIDER LEGACY # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Una M Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043340698 PECOS PAC ID: 0648165829 Enrollment ID: I20040217000574 |
| Provider Name | George E Fahey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538567714 PECOS PAC ID: 4880991207 Enrollment ID: I20160330002216 |
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