Healthcare Provider Details
I. General information
NPI: 1013051614
Provider Name (Legal Business Name): HEALTH IMPERATIVES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/16/2007
Last Update Date: 12/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
651 ORCHARD ST SUITE 11
NEW BEDFORD MA
02744-1008
US
IV. Provider business mailing address
942 W CHESTNUT ST
BROCKTON MA
02301-5567
US
V. Phone/Fax
- Phone: 508-984-5333
- Fax:
- Phone: 508-583-3005
- Fax: 508-583-9809
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHEREE
C
MARINILLI
Title or Position: CFO
Credential:
Phone: 508-583-3005