Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 39 Broad St, Quincy, Massachusetts |
Authorized Official Name and Position | Cynthia Sierra (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6174044101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
110 W Squantum St Ste 8 Quincy MA 02171-2158 Ph: (617) 404-4102 | 39 Broad St Quincy MA 02169-4689 Ph: (617) 376-3000 |
NPI Number | 1427795681 |
---|---|
Provider Enumeration Date | 05/18/2022 |
Last Update Date | 03/03/2023 |
Medicare PECOS PAC ID | 4486555158 |
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Medicare Enrollment ID | O20240618002385 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427795681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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