North Shore Community Health, Inc | |
27 Congress St Salem MA 01970-7309 | |
(978) 744-8388 | |
(978) 744-0079 |
Full Name | North Shore Community Health, Inc |
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Speciality | Clinic/Center |
Location | 27 Congress St, Salem, Massachusetts |
Authorized Official Name and Position | Margaret Brennan (CEO) |
Authorized Official Contact | 9788251109 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Shore Community Health, Inc 27 Congress St Suite 103 Salem MA 01970-7309 Ph: (978) 744-8388 | North Shore Community Health, Inc 27 Congress St Salem MA 01970-7309 Ph: (978) 744-8388 |
NPI Number | 1366582090 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 09/05/2012 |
Medicare PECOS PAC ID | 4880666452 |
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Medicare Enrollment ID | O20130206000169 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366582090 | NPI | - | NPPES |
110027881A | Medicaid | MA | |
110027881B | Medicaid | MA | |
110027881D | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4M9K (Massachusetts) | Primary |
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