ATREVA HEALTH CARE INC. NPI 1659415073

NPI Information

NPI: 1659415073
Provider Name: ATREVA HEALTH CARE, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
770 CENTRE ST
JAMAICA PLAIN, MA
ZIP 02130
Phone: (617) 524-2121
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ATREVA HEALTH CARE, INC. is a primary care clinic center in Jamaica Plain, MA. ATREVA HEALTH CARE, INC. NPI is 1659415073. The provider is registered as an organization entity type.

The provider's business location address is:

770 CENTRE ST
JAMAICA PLAIN, MA
ZIP 02130-706
Phone: (617) 524-2121
Fax: (617) 524-3810

The provider's authorized official is Francisco Trilla .
The authorized official title is President and has the following contact phone number (617) 524-2121.

The enumeration date for this NPI number is 2/18/2007 and was last updated on 8/22/2020.

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
1	261QP2300X	Clinic/Center	Primary Care		MASSACHUSETTS	Yes

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
1	9712836	MEDICAID	MASSACHUSETTS

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

NPI Synchronization or Removal

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