Healthcare Provider Details

I. General information

NPI: 1700208519
Provider Name (Legal Business Name): HARRINGTON PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2014
Last Update Date: 01/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 THOMPSON RD STE 108
WEBSTER MA
01570-1509
US

IV. Provider business mailing address

PO BOX 40
SOUTHBRIDGE MA
01550-0040
US

V. Phone/Fax

Practice location:
  • Phone: 508-943-5132
  • Fax: 508-943-5209
Mailing address:
  • Phone: 508-909-7799
  • Fax: 508-909-7750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN2276342
License Number StateMA

VIII. Authorized Official

Name: KRISTIN MORALES
Title or Position: EXECUTIVE DIRECTOR/COO
Credential:
Phone: 508-764-7791