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NPI Code Detail

MEDICARE: LYNN COMMUNITY HEALTH, INC.

MEDICARE: LYNN COMMUNITY HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/Center4735MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013997691
Entity Type Code : Organization
Provider Name (Legal Business Name) : LYNN COMMUNITY HEALTH, INC.
Provider Business Mailing Address
First Line : 269 UNION STREET
Second Line :
City : LYNN
State : MA
Zip : 01901-1314
Country : US
Telephone Number : 781-596-2502
Fax Number : 781-596-3966
Provider Business Practice Location Address
First Line : 269 UNION STREET
Second Line :
City : LYNN
State : MA
Zip : 01901-1314
Country : US
Telephone Number : 781-596-2502
Fax Number : 781-596-3966
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. LORI ABRAMS BERRY
Credential : MSW/MPH
Telephone Number : 781-596-2502
Provider Enumeration Date : 01/19/2006
Last Update Date : 06/30/2015

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Directions to “LYNN COMMUNITY HEALTH, INC. ” Practice Location

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