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735 Attucks Ln Hyannis MA 02601-1867 | |
| (508) 778-0300 | |
| (508) 778-8747 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 735 Attucks Ln, Hyannis, Massachusetts |
| Authorized Official Name and Position | Charles T. Jones (PRESIDENT & CEO) |
| Authorized Official Contact | 6175332300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1135 Morton Street Mattapan MA 02126-2834 Ph: (617) 533-2300 | 735 Attucks Ln Hyannis MA 02601-1867 Ph: (508) 778-0300 |
| NPI Number | 1376502070 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 07/08/2024 |
| Medicare PECOS PAC ID | 0345146213 |
|---|---|
| Medicare Enrollment ID | O20031210001049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376502070 | NPI | - | NPPES |
| 1301225 | Medicaid | MA | |
| 110027821A | Medicaid | MA |
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