Healthcare Provider Details

I. General information

NPI: 1265422596
Provider Name (Legal Business Name): PRIMA CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 PLEASANT ST 4TH FLOOR
FALL RIVER MA
02721-3005
US

IV. Provider business mailing address

PO BOX 1070
FALL RIVER MA
02722-1070
US

V. Phone/Fax

Practice location:
  • Phone: 508-676-3292
  • Fax: 508-673-6182
Mailing address:
  • Phone: 508-676-3292
  • Fax: 508-673-6182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAUREN GOMES
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 508-676-3292