1053721043 NPI number — QUALITY CARE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053721043 NPI number — QUALITY CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUALITY CARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053721043
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/27/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 W CUMMINGS PARK
Provider Second Line Business Mailing Address:
SUITE 5900
Provider Business Mailing Address City Name:
WOBURN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01801-6503
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-326-8997
Provider Business Mailing Address Fax Number:
857-284-0048

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 W CUMMINGS PARK
Provider Second Line Business Practice Location Address:
SUITE 5900
Provider Business Practice Location Address City Name:
WOBURN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01801-6503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-326-8997
Provider Business Practice Location Address Fax Number:
857-284-0048
Provider Enumeration Date:
04/30/2014

Additional Information

Authorized Official

Authorized Official Last Name:
LOWNDS
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
617-326-8997

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  110088313B , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 110088313B , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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