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1207 S Main St Ste 1 Palmer MA 01069-1897 | |
| (413) 200-2808 | |
| (223) 924-9926 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1207 S Main St Ste 1, Palmer, Massachusetts |
| Authorized Official Name and Position | Shaina Labonte (OWNER) |
| Authorized Official Contact | 4132002808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 246 Brimfield MA 01010-0246 Ph: (413) 200-2808 | 1207 S Main St Ste 1 Palmer MA 01069-1897 Ph: (413) 200-2808 |
| NPI Number | 1255188462 |
|---|---|
| Provider Enumeration Date | 05/04/2024 |
| Last Update Date | 01/04/2025 |
| Medicare PECOS PAC ID | 5395281349 |
|---|---|
| Medicare Enrollment ID | O20240725003693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255188462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Shaina Labonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972050318 PECOS PAC ID: 1456630300 Enrollment ID: I20161116001455 |
Oliver Health Technologies, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1448 N Main St, Palmer, MA 01069 Phone: 413-283-2946 Fax: 413-283-6361 | |
Maestro Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Shearer St, Palmer, MA 01069 Phone: 603-512-5659 |