Healthcare Provider Details
I. General information
NPI: 1891175758
Provider Name (Legal Business Name): HARRINGTON PHYSICIAN SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2015
Last Update Date: 12/27/2022
Certification Date: 12/27/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
164 SOUTH ST
SOUTHBRIDGE MA
01550-4010
US
IV. Provider business mailing address
100 SOUTH ST PO BOX 40
SOUTHBRIDGE MA
01550-4051
US
V. Phone/Fax
- Phone: 508-909-8550
- Fax: 508-909-2110
- Phone: 508-765-9771
- Fax: 508-764-2432
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARETHA
STILL
Title or Position: EXECUTIVE DIRECTOR HPS
Credential:
Phone: 508-765-9771