Healthcare Provider Details

I. General information

NPI: 1114066636
Provider Name (Legal Business Name): HEALTH IMPERATIVES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 03/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

942 W CHESTNUT ST
BROCKTON MA
02301-5567
US

IV. Provider business mailing address

942 W CHESTNUT ST
BROCKTON MA
02301-5567
US

V. Phone/Fax

Practice location:
  • Phone: 508-583-3005
  • Fax: 508-583-9809
Mailing address:
  • Phone: 508-583-3005
  • Fax: 508-583-9809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JULIA ELIZABETH KEHOE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 508-583-3005