| Outer Cape Health Services, Inc. | |
|
49 Harry Kemp Way Provincetown MA 02657-1618 | |
| (508) 487-9395 | |
| (508) 487-3285 |
| Full Name | Outer Cape Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 49 Harry Kemp Way, Provincetown, Massachusetts |
| Authorized Official Name and Position | Lina Lillian Winters (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 5089052431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outer Cape Health Services, Inc. Po Box 598 Harwich Port MA 02646-0598 Ph: (508) 905-2800 | Outer Cape Health Services, Inc. 49 Harry Kemp Way Provincetown MA 02657-1618 Ph: (508) 487-9395 |
| NPI Number | 1841384013 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 09/15/2023 |
| Medicare PECOS PAC ID | 4385554971 |
|---|---|
| Medicare Enrollment ID | O20030514000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841384013 | NPI | - | NPPES |
| 1302493 | Medicaid | MA | |
| HEA2227001611 | Other | MA | BCBS GP# WELLFLEET CLINIC |
| 0017111 | Other | MD | NHP GROUP # |
| CI6065 | Other | RAILROAD MEDICARE | |
| 110027866/A | Medicaid | MA | |
| 709363 | Other | MA | TUFTS GROUP # |
| 2882955 | Other | MA | AETNA GROUP # |
| HEA2227001610 | Other | MA | BCBS GRP # PROVINCETOWN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4963 (Massachusetts) | Primary |
Provincetown Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Shank Painter Rd, Provincetown, MA 02657 Phone: 508-487-3505 Fax: 508-487-9023 |