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DARTMOUTH PRIMARY MEDICINE LLC NPI 1083776728


NPI Information

NPI: 1083776728
Provider Name: DARTMOUTH PRIMARY MEDICINE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
651 ORCHARD ST
SUITE 202 A
NEW BEDFORD, MA
ZIP 02744
Phone: (508) 994-5300
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DARTMOUTH PRIMARY MEDICINE, LLC is a primary care clinic center in New Bedford, MA. DARTMOUTH PRIMARY MEDICINE, LLC NPI is 1083776728. The provider is registered as an organization entity type.

The provider's business location address is:

651 ORCHARD ST
SUITE 202 A
NEW BEDFORD, MA
ZIP 02744-008
Phone: (508) 994-5300
Fax: (508) 994-4225

The provider's authorized official is John George .
The authorized official title is Owner and has the following contact phone number (508) 971-9737.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 7/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care220351MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I09877MEDICARE UPINMASSACHUSETTS
2110076216AMEDICAIDMASSACHUSETTS
3M21890MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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