Whately Health Center | |
181 State Road Whately MA 01093 | |
(413) 665-0176 | |
(413) 397-9760 |
Full Name | Whately Health Center |
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Speciality | Clinic/center - Primary Care |
Location | 181 State Road, Whately, Massachusetts |
Authorized Official Name and Position | Jacqueline Ferranti Kennedy (PRESIDENT) |
Authorized Official Contact | 4136650176 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Whately Health Center Po Box 205 Whately MA 01093-0205 Ph: (413) 665-0176 | Whately Health Center 181 State Road Whately MA 01093 Ph: (413) 665-0176 |
NPI Number | 1356526297 |
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Provider Enumeration Date | 01/09/2008 |
Last Update Date | 08/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356526297 | NPI | - | NPPES |
NP2260 | Other | MA | MEDICARE INDIVIDUAL |
9709444 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 169563 (Massachusetts) | Primary |