| Extraordinary Health Services Llc | |
|
16 Bartlett Ln East Wareham MA 02538-1202 | |
| (781) 831-1760 | |
| Not Available |
| Full Name | Extraordinary Health Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 16 Bartlett Ln, East Wareham, Massachusetts |
| Authorized Official Name and Position | Donna Feeney (OWNER) |
| Authorized Official Contact | 7818311760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Extraordinary Health Services Llc 16 Bartlett Ln East Wareham MA 02538-1202 Ph: () - | Extraordinary Health Services Llc 16 Bartlett Ln East Wareham MA 02538-1202 Ph: (781) 831-1760 |
| NPI Number | 1396317632 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Medicare PECOS PAC ID | 8224402615 |
|---|---|
| Medicare Enrollment ID | O20230327001337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396317632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Donna M Feeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316019011 PECOS PAC ID: 1456352970 Enrollment ID: I20070126000286 |
Habit Opco Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3086 Cranberry Hwy, East Wareham, MA 02538 Phone: 508-295-7990 Fax: 508-295-3781 |