Healthcare Provider Details

I. General information

NPI: 1154295343
Provider Name (Legal Business Name): TRACY LYNN GALINDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 NORTH ST
NEW BEDFORD MA
02740-2782
US

IV. Provider business mailing address

4 PERRINGTON WAY
PLYMOUTH MA
02360-3577
US

V. Phone/Fax

Practice location:
  • Phone: 508-742-6419
  • Fax: 508-991-8500
Mailing address:
  • Phone: 508-996-3391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: