MEDICARE: ORLEANS MEDICAL CENTER, P.C.

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
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	906428	OTHER	MA	TUFTS HEALTHCARE
2	M17092	OTHER	MA	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205883089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORLEANS MEDICAL CENTER, P.C.

Provider Business Mailing Address
First Line	:	204 MAIN ST
Second Line	:
City	:	ORLEANS
State	:	MA
Zip	:	02653-3428
Country	:	US
Telephone Number	:	508-255-8825
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 MAIN ST
Second Line	:
City	:	ORLEANS
State	:	MA
Zip	:	02653-3428
Country	:	US
Telephone Number	:	508-255-8825
Fax Number	:	508-240-3117

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TIMOTHY C REED
Credential	:	MD
Telephone Number	:	508-255-8825

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	08/26/2011

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