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General NPI Number Information
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NPI Number | 1215915400
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Entity Type | Organization
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Legal Business Name | HILLTOWN COMMUNITY HEALTH CENTERS, INC.
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 58 OLD NORTH ROAD
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City | WORTHINGTON
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State | MA
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Zip | 01098-9753
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Country | US
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Telephone | 413-238-5511
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Fax | 413-238-5570
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Provider Business Mailing Address
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Address Line | 58 OLD NORTH ROAD
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City | WORTHINGTON
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State | MA
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Zip | 01098-9753
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Country | US
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Telephone | 413-238-5511
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Fax | 413-238-5570
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Authorized Official
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Title or Position | CEO
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Name | MICHEAL PURDY
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Credential | MD
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Telephone | 413-238-5511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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