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NPI Code Detail

MEDICARE: PRIMA CARE, PC

MEDICARE: PRIMA CARE, PC
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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1538875265
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMA CARE, PC
Provider Business Mailing Address
First Line : 277 PLEASANT ST BLDG 1
Second Line :
City : FALL RIVER
State : MA
Zip : 02721-3005
Country : US
Telephone Number : 508-676-3292
Fax Number :
Provider Business Practice Location Address
First Line : 1040 CHARLES ST
Second Line :
City : NORTH PROVIDENCE
State : RI
Zip : 02904-4916
Country : US
Telephone Number : 508-676-3292
Fax Number : 508-235-3058
Authorized Official
Title or Position : CEO
Name : RICHARD MATEUS
Credential :
Telephone Number : 508-676-3292
Provider Enumeration Date : 01/26/2023
Last Update Date : 01/26/2023

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