| Rutland Family Health Center | |
|
694 Main St Holden MA 01520-1862 | |
| (508) 886-6500 | |
| (508) 886-6501 |
| Full Name | Rutland Family Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 694 Main St, Holden, Massachusetts |
| Authorized Official Name and Position | Raffia Qutab (PHYSICIAN) |
| Authorized Official Contact | 5088866396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutland Family Health Center Po Box 34 Holden MA 01520-0034 Ph: (508) 886-6500 | Rutland Family Health Center 694 Main St Holden MA 01520-1862 Ph: (508) 886-6500 |
| NPI Number | 1205073012 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 12/31/2021 |
| Medicare PECOS PAC ID | 6002968997 |
|---|---|
| Medicare Enrollment ID | O20090724000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205073012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 230838 (Massachusetts) | Primary |
| Provider Name | Raffia Qutab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588719462 PECOS PAC ID: 9032291059 Enrollment ID: I20080130000339 |
Wachusett Family Practice Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 Boyden Rd Suite 209, Holden, MA 01520 Phone: 508-829-4351 |