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NPI Code Detail

MEDICARE: QUABBIN VALLEY CONVALESCENT CENTER,INC.

MEDICARE: QUABBIN VALLEY CONVALESCENT CENTER,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 Facility0071MA

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 : 1649266214
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUABBIN VALLEY CONVALESCENT CENTER,INC.
Provider Business Mailing Address
First Line : 821 DANIEL SHAYS HWY
Second Line :
City : ATHOL
State : MA
Zip : 01331-9609
Country : US
Telephone Number : 978-249-3717
Fax Number : 978-249-7700
Provider Business Practice Location Address
First Line : 821 DANIEL SHAYS HWY
Second Line :
City : ATHOL
State : MA
Zip : 01331-9609
Country : US
Telephone Number : 978-249-3717
Fax Number : 978-249-7700
Authorized Official
Title or Position : ADMINISTRATOR
Name : DIANE O'BRIEN
Credential :
Telephone Number : 978-249-3717
Provider Enumeration Date : 09/20/2005
Last Update Date : 11/29/2011

Similar Medicare Providers

1194950899 — ADAM C. DARNOBID MD
Practice Location Address:
2033 MAIN ST
ATHOL, MA
01331-3535
Practice Phone: 978-249-3511
Practice Fax:
1508864760 — MARY M DJAFERIS F.N.P.
Practice Location Address:
201 S MAIN ST
ATHOL, MA
01331-2102
Practice Phone: 978-249-0099
Practice Fax: 978-249-7227
1225036486 — KRISTIN A MCCARTHY F.N.P
Practice Location Address:
201 S MAIN ST
ATHOL, MA
01331-2102
Practice Phone: 978-249-0099
Practice Fax: 978-249-7227
1588664247 — TIMOTHY E SOULE-REGINE MD
Practice Location Address:
201 S MAIN ST , STE 1
ATHOL, MA
01331-2117
Practice Phone: 978-248-3840
Practice Fax: 978-249-7227
1144216946 — OSAMA A. AL-MASRI M.D.
Practice Location Address:
80 MECHANIC ST , 1:4
ATHOL, MA
01331-3534
Practice Phone: 978-249-5668
Practice Fax: 978-249-5669
1558358135 — YOGENDRA K. THAKER M.D.
Practice Location Address:
80 MECHANIC ST
ATHOL, MA
01331-3534
Practice Phone: 978-249-2347
Practice Fax: 978-249-6333

Directions to “QUABBIN VALLEY CONVALESCENT CENTER,INC. ” Practice Location

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