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MEDWAY COUNTRY MANOR INC. NPI 1245403963


NPI Information

NPI: 1245403963
Provider Name: MEDWAY COUNTRY MANOR, INC.

Doing Business As: GENERATIONS OUTPATIENT WELLNESS & REHAB - SPEECH THERAPY

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
115 HOLLISTON ST
MEDWAY, MA
ZIP 02053
Phone: (508) 533-9893
Get Directions

MEDWAY COUNTRY MANOR, INC. is a speech language pathologist in Medway, MA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MEDWAY COUNTRY MANOR, INC. NPI is 1245403963. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Generations Outpatient Wellness & Rehab - Speech Therapy.

The provider's business location address is:

115 HOLLISTON ST
MEDWAY, MA
ZIP 02053-954
Phone: (508) 533-9893
Fax: (508) 533-7048

The provider's authorized official is John Peters .
The authorized official title is Treasurer and has the following contact phone number (508) 533-6634.

The enumeration date for this NPI number is 4/3/2008 and was last updated on 4/3/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist0840MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1225412MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS
20910481MEDICAIDMASSACHUSETTS

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: 5/5/2024

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