Full Name | |
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Speciality | Clinic/center |
Location | 157 Main Street, Spencer, Massachusetts |
Authorized Official Name and Position | Lee Jarvis (BOARD OF HEALTH AGENT) |
Authorized Official Contact | 5088857500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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157 Main Street Spencer MA 01562 Ph: (508) 885-7500 | 157 Main Street Spencer MA 01562 Ph: (508) 885-7500 |
NPI Number | 1912105123 |
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Provider Enumeration Date | 07/10/2007 |
Last Update Date | 07/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912105123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |