Healthcare Provider Details

I. General information

NPI: 1083422620
Provider Name (Legal Business Name): DUFFY HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 IYANNOUGH RD
HYANNIS MA
02601-1910
US

IV. Provider business mailing address

94 MAIN ST
HYANNIS MA
02601-3146
US

V. Phone/Fax

Practice location:
  • Phone: 508-771-9599
  • Fax: 508-771-1986
Mailing address:
  • Phone: 508-771-7517
  • Fax: 508-771-7514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE J WROTEN
Title or Position: CEO
Credential: RN, MSN, MS, LNC
Phone: 508-771-7517