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NPI Code Detail

MEDICARE: CLIFTON GERIATRIC CENTER

MEDICARE: CLIFTON GERIATRIC CENTER
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
1314000000XSkilled Nursing Facility0854MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992793509
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLIFTON GERIATRIC CENTER
Provider Business Mailing Address
First Line : 500 WILBUR AVE
Second Line :
City : SOMERSET
State : MA
Zip : 02725-2051
Country : US
Telephone Number : 508-675-7589
Fax Number : 508-672-7422
Provider Business Practice Location Address
First Line : 500 WILBUR AVE
Second Line :
City : SOMERSET
State : MA
Zip : 02725-2051
Country : US
Telephone Number : 508-675-7589
Fax Number : 508-672-7422
Authorized Official
Title or Position : ADMINISTRATOR
Name : ERIC GREENWOOD
Credential :
Telephone Number : 508-675-7589
Provider Enumeration Date : 10/07/2005
Last Update Date : 11/02/2011

Similar Medicare Providers

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1538297825 — CLIFTON GERIATRIC CENTER
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1083742373 — CLIFTON GERIATRIC CENTER
Practice Location Address:
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1750562997 — MR. MARK GALLUZZO OTR/L
Practice Location Address:
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1396917803 — MRS. NICOLE GERMAINE KENYON OTR/L
Practice Location Address:
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Directions to “CLIFTON GERIATRIC CENTER ” Practice Location

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