| Shields Healthcare Of Cambridge, Inc. | |
|
385 Western Ave Brighton MA 02135-1005 | |
| (617) 621-2955 | |
| (508) 897-3599 |
| Full Name | Shields Healthcare Of Cambridge, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 385 Western Ave, Brighton, Massachusetts |
| Authorized Official Name and Position | Arthur Byrd (CFO) |
| Authorized Official Contact | 6173767400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shields Healthcare Of Cambridge, Inc. 55 Christy Dr Brockton MA 02301-1813 Ph: (508) 897-1501 | Shields Healthcare Of Cambridge, Inc. 385 Western Ave Brighton MA 02135-1005 Ph: (617) 621-2955 |
| NPI Number | 1134178312 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 09/28/2021 |
| Medicare PECOS PAC ID | 1254315310 |
|---|---|
| Medicare Enrollment ID | O20040616000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134178312 | NPI | - | NPPES |
| 110029017A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 4420 (Massachusetts) | Secondary |
| 261QM1200X | Clinic/center - Magnetic Resonance Imaging (mri) | 4420 (Massachusetts) | Primary |
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