| Front Line Services | |
|
486 Chestnut St Ste 2 Gardner MA 01440-3050 | |
| (781) 330-1366 | |
| Not Available |
| Full Name | Front Line Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 486 Chestnut St Ste 2, Gardner, Massachusetts |
| Authorized Official Name and Position | Matthew C Page-shelton (CEO) |
| Authorized Official Contact | 9783095445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Front Line Services 486 Chestnut St Ste 2 Gardner MA 01440-3050 Ph: (978) 309-5445 | Front Line Services 486 Chestnut St Ste 2 Gardner MA 01440-3050 Ph: (781) 330-1366 |
| NPI Number | 1932896792 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 03/13/2026 |
| Certification Date | 03/13/2026 |
| Medicare PECOS PAC ID | 2062984545 |
|---|---|
| Medicare Enrollment ID | O20260616001769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932896792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Secondary |
| 251S00000X | Community/behavioral Health | (NU) | Primary |
| Provider Name | Matthew C Page-shelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265959159 PECOS PAC ID: 4880166362 Enrollment ID: I20260624000221 |
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