| Whately Health Center | |
|
181 State Road Whately MA 01093 | |
| (413) 665-0176 | |
| (413) 397-9760 |
| Full Name | Whately Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 181 State Road, Whately, Massachusetts |
| Authorized Official Name and Position | Jacqueline Ferranti Kennedy (PRESIDENT) |
| Authorized Official Contact | 4136650176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whately Health Center Po Box 205 Whately MA 01093-0205 Ph: (413) 665-0176 | Whately Health Center 181 State Road Whately MA 01093 Ph: (413) 665-0176 |
| NPI Number | 1356526297 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 08/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356526297 | NPI | - | NPPES |
| NP2260 | Other | MA | MEDICARE INDIVIDUAL |
| 9709444 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 169563 (Massachusetts) | Primary |