Healthcare Provider Details

I. General information

NPI: 1396796512
Provider Name (Legal Business Name): SANDWICH HEALTH ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 QUAKER MEETING HOUSE RD
EAST SANDWICH MA
02537-1372
US

IV. Provider business mailing address

PO BOX 330
SANDWICH MA
02563-0330
US

V. Phone/Fax

Practice location:
  • Phone: 508-833-8020
  • Fax: 508-833-3198
Mailing address:
  • Phone: 508-833-8020
  • Fax: 508-833-3198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBARA ANN BERNARD
Title or Position: VICE PRESIDENT
Credential:
Phone: 508-833-9710