One Clearview Health Llc | |
578 Main St Ste 4b Malden MA 02148-4094 | |
(857) 294-7441 | |
Not Available |
Full Name | One Clearview Health Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 578 Main St Ste 4b, Malden, Massachusetts |
Authorized Official Name and Position | Nougye Mutungi-mukoma (OWNER) |
Authorized Official Contact | 7819213781 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
One Clearview Health Llc 578 Main St Ste 4b Malden MA 02148-4094 Ph: (781) 921-3781 | One Clearview Health Llc 578 Main St Ste 4b Malden MA 02148-4094 Ph: (857) 294-7441 |
NPI Number | 1114742749 |
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Provider Enumeration Date | 11/19/2024 |
Last Update Date | 12/12/2024 |
Certification Date | 12/12/2024 |
Medicare PECOS PAC ID | 2062941446 |
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Medicare Enrollment ID | O20250130000905 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114742749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Nougye J Mutungi Mukoma |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275190795 PECOS PAC ID: 1355654153 Enrollment ID: I20241010000141 |
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