| Health Department | |
|
1625 Mass Ave Lexington MA 02420 | |
| (781) 862-0500 | |
| (781) 861-2780 |
| Full Name | Health Department |
|---|---|
| Speciality | Clinic/Center |
| Location | 1625 Mass Ave, Lexington, Massachusetts |
| Authorized Official Name and Position | Derek Fullerton (DIRECTOR OF HEALTH DEPARTMENT) |
| Authorized Official Contact | 7818620500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Department 1625 Mass Ave Lexington MA 02420 Ph: (781) 862-0500 | Health Department 1625 Mass Ave Lexington MA 02420 Ph: (781) 862-0500 |
| NPI Number | 1841357837 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7911917588 |
|---|---|
| Medicare Enrollment ID | O20071130000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841357837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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