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HEALTHY CONCEPT FAMILY PRACTICE LLC NPI 1861752271


NPI Information

NPI: 1861752271
Provider Name: HEALTHY CONCEPT FAMILY PRACTICE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 22D2047503

Address:
118 MAIN ST
SUITE #3
STURBRIDGE, MA
ZIP 01566
Phone: (774) 241-0450
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HEALTHY CONCEPT FAMILY PRACTICE, LLC is a primary care clinic center in Sturbridge, MA. HEALTHY CONCEPT FAMILY PRACTICE, LLC NPI is 1861752271. The provider is registered as an organization entity type.

The provider's business location address is:

118 MAIN ST
SUITE #3
STURBRIDGE, MA
ZIP 01566-533
Phone: (774) 241-0450
Fax: (774) 241-0583

The provider's authorized official is Junjie Fang .
The authorized official title is Owner and has the following contact phone number (774) 241-0450.

The CLIA number assigned to this NPI record is 22D2047503 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2012 and was last updated on 4/9/2013.


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
1261QP2300XClinic/CenterPrimary Care238587MASSACHUSETTSYes

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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