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NPI Code Detail

MEDICARE: NASHOBA VALLEY HEALTHCARE GROUP INC

MEDICARE: NASHOBA VALLEY HEALTHCARE GROUP 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
1207R00000XInternal Medicine Physician
2208000000XPediatrics Physician
3207Q00000XFamily Medicine Physician

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 : 1174513071
Entity Type Code : Organization
Provider Name (Legal Business Name) : NASHOBA VALLEY HEALTHCARE GROUP INC
Provider Business Mailing Address
First Line : 200 GROTON RD
Second Line :
City : AYER
State : MA
Zip : 01432-1168
Country : US
Telephone Number : 978-784-9325
Fax Number : 978-784-9599
Provider Business Practice Location Address
First Line : 200 GROTON RD
Second Line :
City : AYER
State : MA
Zip : 01432-1168
Country : US
Telephone Number : 978-784-9325
Fax Number : 978-784-9599
Authorized Official
Title or Position : DIRECTOR
Name : LOUANN SWANEY
Credential :
Telephone Number : 978-784-9325
Provider Enumeration Date : 10/24/2005
Last Update Date : 03/12/2009

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Directions to “NASHOBA VALLEY HEALTHCARE GROUP INC ” Practice Location

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