| Tribe Institute Llc | |
|
280 N Main St Ste 2 East Longmeadow MA 01028-1814 | |
| (413) 224-2008 | |
| Not Available |
| Full Name | Tribe Institute Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 280 N Main St Ste 2, East Longmeadow, Massachusetts |
| Authorized Official Name and Position | Winifred Martin (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4136576190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tribe Institute Llc 280 N Main St Ste 2 East Longmeadow MA 01028-1814 Ph: (413) 224-2008 | Tribe Institute Llc 280 N Main St Ste 2 East Longmeadow MA 01028-1814 Ph: (413) 224-2008 |
| NPI Number | 1306599493 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Medicare PECOS PAC ID | 7012391394 |
|---|---|
| Medicare Enrollment ID | O20230302002245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306599493 | NPI | - | NPPES |
| Provider Name | Winifred Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255794806 PECOS PAC ID: 9830573112 Enrollment ID: I20230302002427 |
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