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CITY OF PEABODY NPI 1861531725


NPI Information

NPI: 1861531725
Provider Name: CITY OF PEABODY

Doing Business As: ROGER B. TRASK ADULT DAY HEALTH

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
79 CENTRAL ST
PEABODY, MA
ZIP 01960
Phone: (978) 531-2254
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CITY OF PEABODY is an adult day care clinic center in Peabody, MA. CITY OF PEABODY NPI is 1861531725. The provider is registered as an organization entity type.
The provider Is Doing Business As Roger B. Trask Adult Day Health.

The provider's business location address is:

79 CENTRAL ST
PEABODY, MA
ZIP 01960-353
Phone: (978) 531-2254
Fax: (978) 531-7176

The provider's authorized official is Kristin Crockett .
The authorized official title is Program Coordinator and has the following contact phone number (978) 531-2254.

The enumeration date for this NPI number is 2/6/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareMASSACHUSETTSYes

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
11902121MEDICAIDMASSACHUSETTS

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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