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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 Facility

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 : 1467028274
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIANCE HEALTH OF QUINCY, INC.
Provider Business Mailing Address
First Line : 2 SEAPORT DR
Second Line :
City : QUINCY
State : MA
Zip : 02171-1599
Country : US
Telephone Number : 617-569-5100
Fax Number : 617-472-8427
Provider Business Practice Location Address
First Line : 2 SEAPORT DR
Second Line :
City : QUINCY
State : MA
Zip : 02171-1599
Country : US
Telephone Number : 617-569-5100
Fax Number : 617-472-8427
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : PAUL BRIAN KEMP
Credential :
Telephone Number : 774-348-2001
Provider Enumeration Date : 06/02/2021
Last Update Date : 06/02/2021

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