| |
89 Foster St Peabody MA 01960-8925 | |
(978) 532-4903 | |
(978) 532-4995 |
Full Name | |
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Speciality | Clinic/Center |
Location | 89 Foster St, Peabody, 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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27 Congress St Suite 103 Salem MA 01970-7309 Ph: (978) 744-8388 | 89 Foster St Peabody MA 01960-8925 Ph: (978) 532-4903 |
NPI Number | 1124373022 |
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Provider Enumeration Date | 07/17/2012 |
Last Update Date | 09/27/2012 |
Medicare PECOS PAC ID | 4880666452 |
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Medicare Enrollment ID | O20130823000494 |
Identifier | Type | State | Issuer |
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1124373022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4M9K (Massachusetts) | Primary |
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