| Northstar Learning Centers Inc. | |
|
53 Linden St New Bedford MA 02740-6904 | |
| (774) 992-0129 | |
| (508) 984-3389 |
| Full Name | Northstar Learning Centers Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 53 Linden St, New Bedford, Massachusetts |
| Authorized Official Name and Position | Jimmy Owens (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 7749920129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Learning Centers Inc. 53 Linden St New Bedford MA 02740-6904 Ph: (774) 992-0129 | Northstar Learning Centers Inc. 53 Linden St New Bedford MA 02740-6904 Ph: (774) 992-0129 |
| NPI Number | 1639622749 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 02/23/2018 |
| Medicare PECOS PAC ID | 4385904754 |
|---|---|
| Medicare Enrollment ID | O20180202000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639622749 | NPI | - | NPPES |
| 1982890794 | Other | MA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Massachusetts) | Primary |
| Provider Name | Jimmy Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982890794 PECOS PAC ID: 1658632161 Enrollment ID: I20180226002807 |
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