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UNITED FAMILY MEDICAL CENTER LLC NPI 1275312530


NPI Information

NPI: 1275312530
Provider Name: UNITED FAMILY MEDICAL CENTER LLC

Other Name: UNITED FAMILY MEDICAL CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 22D2295923

Address:
1 WALLACE BASHAW WAY STE 1002
NEWBURYPORT, MA
ZIP 01950
Phone: (978) 808-7735
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UNITED FAMILY MEDICAL CENTER LLC is a primary care clinic center in Newburyport, MA. UNITED FAMILY MEDICAL CENTER LLC NPI is 1275312530. The provider is registered as an organization entity type.
The provider Other Name Is United Family Medical Center.

The provider's business location address is:

1 WALLACE BASHAW WAY STE 1002
NEWBURYPORT, MA
ZIP 01950-876
Phone: (978) 808-7735

The provider's authorized official is Kirubakran Siva .
The authorized official title is Sole Proprietorship and has the following contact phone number (978) 255-2612.

The CLIA number assigned to this NPI record is 22D2295923 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2023 and was last updated on 1/18/2024.


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
1261QP2300XClinic/CenterPrimary CareYes

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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