Chair City Family Medicine, Pc

LBN: Chair City Family Medicine, Pc
Chair City Family Medicine, Pc is an health care organization with primary practice located at 250 Green St , Gardner MA 01440-1396. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Chair City Family Medicine, Pc can be contacted via phone (978) 630-4455, or through Miller, Thomas Bryan via phone (978) 630-4455.

Contact Information

Primary practice address
250 Green St Gardner MA 01440-1396
Phone: (978) 630-4455
Fax: (978) 669-0046
Website:
Map and Directions
Authorized official contact:
Name: Miller, Thomas Bryan Doctor of Medicine (MD)
Phone: (978) 630-4455

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Massachusetts

Profile Details

NPI number 1366411316
LBN Legal business name Chair City Family Medicine, Pc
DBA Doing business as
Authorized official Miller, Thomas Bryan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 20th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366411316 NPPES
Massachusetts MEDICAID 9716530

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