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NPI Code Detail

MEDICARE: GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, INC.

MEDICARE: GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/Center4005MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1125503OTHERMAUNITED HEALTH CARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3725566OTHERMATUFTS HEALTH PLAN
4A581OTHERMAHARVARD PILGRIM
5Y10140OTHERMAHMO BLUE
6042657800OTHERMACIGNA
7075501OTHERMAAETNA

General Provider Information

NPI Number : 1982607537
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 874 PURCHASE ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02740
Country : US
Telephone Number : 508-992-6553
Fax Number : 508-997-2498
Provider Business Practice Location Address
First Line : 874 PURCHASE ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02740-6232
Country : US
Telephone Number : 508-992-6553
Fax Number : 508-984-8420
Authorized Official
Title or Position : CEO
Name : MS. CHERYL A BARTLETT
Credential :
Telephone Number : 508-992-6553
Provider Enumeration Date : 05/27/2005
Last Update Date : 02/19/2019

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