| John P. Musante Health Center | |
|
70 Boltwood Walk Amherst MA 01002-2271 | |
| (413) 238-5511 | |
| Not Available |
| Full Name | John P. Musante Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 70 Boltwood Walk, Amherst, Massachusetts |
| Authorized Official Name and Position | Eliza B. Lake (CEO) |
| Authorized Official Contact | 4132385511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John P. Musante Health Center 70 Boltwood Walk Amherst MA 01002-2271 Ph: (413) 238-5511 | John P. Musante Health Center 70 Boltwood Walk Amherst MA 01002-2271 Ph: (413) 238-5511 |
| NPI Number | 1528573037 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 12/06/2017 |
| Medicare PECOS PAC ID | 7315830148 |
|---|---|
| Medicare Enrollment ID | O20180129000895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528573037 | NPI | - | NPPES |
| M16638 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4950 (Massachusetts) | Primary |
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