Healthcare Provider Details

I. General information

NPI: 1649897620
Provider Name (Legal Business Name): OHS TOTAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 SOLDIERS FIELD RD STE 3
BRIGHTON MA
02135-1000
US

IV. Provider business mailing address

9 FAUNBAR AVE STE 2
WINTHROP MA
02152-2508
US

V. Phone/Fax

Practice location:
  • Phone: 866-510-3002
  • Fax: 617-663-6677
Mailing address:
  • Phone: 866-510-3002
  • Fax: 617-663-6677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NANCY HUGHES
Title or Position: PRESIDENT
Credential:
Phone: 617-959-4414