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NPI Code Detail

MEDICARE: FALL RIVER HEALTH SERVICES LLC

MEDICARE: FALL RIVER HEALTH SERVICES LLC
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
1111N00000XChiropractor1919MA
2174400000XSpecialist

General Provider Information

NPI Number : 1245289313
Entity Type Code : Organization
Provider Name (Legal Business Name) : FALL RIVER HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : PO BOX 6480
Second Line :
City : FALL RIVER
State : MA
Zip : 02724-9998
Country : US
Telephone Number : 508-675-2840
Fax Number : 508-675-8032
Provider Business Practice Location Address
First Line : 321 RHODE ISLAND AVENUE
Second Line :
City : FALL RIVER
State : MA
Zip : 02721-2329
Country : US
Telephone Number : 508-675-2840
Fax Number : 508-675-8032
Authorized Official
Title or Position : CEO
Name : MR. JOHN A MARSHALL
Credential : D.C.
Telephone Number : 508-675-2840
Provider Enumeration Date : 05/08/2006
Last Update Date : 03/09/2016

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1922272947 — LAUREN E SIMON PT
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Directions to “FALL RIVER HEALTH SERVICES LLC ” Practice Location

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