Focused Primary Care Pc | |
100 South St Ste G08 Southbridge MA 01550-4051 | |
(508) 764-2620 | |
Not Available |
Full Name | Focused Primary Care Pc |
---|---|
Speciality | Clinic/Center |
Location | 100 South St Ste G08, Southbridge, Massachusetts |
Authorized Official Name and Position | Eileen Marie Kane (OWNER/NURSE PRACTITIONER) |
Authorized Official Contact | 5087642620 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Focused Primary Care Pc 100 South St Ste G08 Southbridge MA 01550-4051 Ph: (508) 764-2620 | Focused Primary Care Pc 100 South St Ste G08 Southbridge MA 01550-4051 Ph: (508) 764-2620 |
NPI Number | 1912626615 |
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Provider Enumeration Date | 08/25/2022 |
Last Update Date | 04/26/2023 |
Medicare PECOS PAC ID | 4880067610 |
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Medicare Enrollment ID | O20230227001383 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912626615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Eileen M Kane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700062262 PECOS PAC ID: 0547428005 Enrollment ID: I20120301000147 |
Provider Name | Shaylah Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356076228 PECOS PAC ID: 8426423716 Enrollment ID: I20230419002007 |
Provider Name | Lamoy Toban |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245978980 PECOS PAC ID: 2365802345 Enrollment ID: I20230721003297 |
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