Mcinnis Health Group | |
780 Albany Street Boston MA 02118-2524 | |
(857) 654-1000 | |
(857) 654-1404 |
Full Name | Mcinnis Health Group |
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Speciality | Clinic/Center |
Location | 780 Albany Street, Boston, Massachusetts |
Authorized Official Name and Position | Agnes W Leung (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8576541200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mcinnis Health Group 780 Albany Street Boston MA 02118-2524 Ph: (857) 654-1227 | Mcinnis Health Group 780 Albany Street Boston MA 02118-2524 Ph: (857) 654-1000 |
NPI Number | 1033157771 |
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Provider Enumeration Date | 06/03/2006 |
Last Update Date | 03/14/2016 |
Medicare PECOS PAC ID | 2668475419 |
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Medicare Enrollment ID | O20080819000614 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033157771 | NPI | - | NPPES |
1310828 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4LQX (Massachusetts) | Primary |
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