| North Shore Community Health, Inc | |
|
27 Congress St Salem MA 01970-7309 | |
| (978) 744-8388 | |
| (978) 744-0079 |
| Full Name | North Shore Community Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 27 Congress St, Salem, Massachusetts |
| Authorized Official Name and Position | Margaret Brennan (CEO) |
| Authorized Official Contact | 9788251109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Community Health, Inc 27 Congress St Suite 103 Salem MA 01970-7309 Ph: (978) 744-8388 | North Shore Community Health, Inc 27 Congress St Salem MA 01970-7309 Ph: (978) 744-8388 |
| NPI Number | 1366582090 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 09/05/2012 |
| Medicare PECOS PAC ID | 4880666452 |
|---|---|
| Medicare Enrollment ID | O20130206000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366582090 | NPI | - | NPPES |
| 110027881A | Medicaid | MA | |
| 110027881B | Medicaid | MA | |
| 110027881D | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4M9K (Massachusetts) | Primary |
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