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NPI Code Detail

MEDICARE: ALLIANCE HEALTH OF QUINCY, INC.

MEDICARE: ALLIANCE HEALTH OF QUINCY, 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
1314000000XSkilled Nursing Facility0542MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376530089
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIANCE HEALTH OF QUINCY, INC.
Provider Business Mailing Address
First Line : 2 SEAPORT DRIVE
Second Line :
City : QUINCY
State : MA
Zip : 02171-1599
Country : US
Telephone Number : 617-769-5100
Fax Number : 617-786-8812
Provider Business Practice Location Address
First Line : 2 SEAPORT DR
Second Line :
City : QUINCY
State : MA
Zip : 02171-1599
Country : US
Telephone Number : 617-769-5100
Fax Number : 617-472-8427
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : PAUL BRIAN KEMP
Credential :
Telephone Number : 774-348-2001
Provider Enumeration Date : 09/29/2005
Last Update Date : 06/30/2025

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1467028274 — ALLIANCE HEALTH OF QUINCY, INC.
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2 SEAPORT DR
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02171-1599
Practice Phone: 617-569-5100
Practice Fax: 617-472-8427

Directions to “ALLIANCE HEALTH OF QUINCY, INC. ” Practice Location

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