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NORTH SHORE COMMUNITY HEALTH INC NPI 1366582090


NPI Information

NPI: 1366582090
Provider Name: NORTH SHORE COMMUNITY HEALTH, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
27 CONGRESS ST
SALEM, MA
ZIP 01970
Phone: (978) 744-8388
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NORTH SHORE COMMUNITY HEALTH, INC is a federally qualified health center (fqhc) clinic center in Salem, MA. NORTH SHORE COMMUNITY HEALTH, INC NPI is 1366582090. The provider is registered as an organization entity type.

The provider's business location address is:

27 CONGRESS ST
SALEM, MA
ZIP 01970-309
Phone: (978) 744-8388
Fax: (978) 744-0079

The provider's authorized official is Margaret Brennan .
The authorized official title is Ceo and has the following contact phone number (978) 825-1109.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 9/5/2012.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)4M9KMASSACHUSETTSYes

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
1Y10345MEDICARE UPINMASSACHUSETTS
2110027881AMEDICAIDMASSACHUSETTS
3110027881DMEDICAIDMASSACHUSETTS
4221817MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS
5110027881BMEDICAIDMASSACHUSETTS

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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