Rutland Family Health Center | |
694 Main St Holden MA 01520-1862 | |
(508) 886-6500 | |
(508) 886-6501 |
Full Name | Rutland Family Health Center |
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Speciality | Family Medicine |
Location | 694 Main St, Holden, Massachusetts |
Authorized Official Name and Position | Raffia Qutab (PHYSICIAN) |
Authorized Official Contact | 5088866396 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rutland Family Health Center Po Box 34 Holden MA 01520-0034 Ph: (508) 886-6500 | Rutland Family Health Center 694 Main St Holden MA 01520-1862 Ph: (508) 886-6500 |
NPI Number | 1205073012 |
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Provider Enumeration Date | 01/15/2009 |
Last Update Date | 12/31/2021 |
Medicare PECOS PAC ID | 6002968997 |
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Medicare Enrollment ID | O20090724000074 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205073012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 230838 (Massachusetts) | Primary |
Provider Name | Raffia Qutab |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588719462 PECOS PAC ID: 9032291059 Enrollment ID: I20080130000339 |
Wachusett Family Practice Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 Boyden Rd Suite 209, Holden, MA 01520 Phone: 508-829-4351 |