Mercy Family Practice Pc

LBN: Mercy Family Practice Pc
Mercy Family Practice Pc is an health care organization with primary practice located at 250 Green St Suite 200, 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. Mercy Family Practice Pc can be contacted via phone (978) 632-6445, or through Worden, Rebecca via phone (978) 632-6445.

Contact Information

Primary practice address
250 Green St Suite 200 Gardner MA 01440-1396
Phone: (978) 632-6445
Fax: (978) 630-3603
Website:
Map and Directions
Authorized official contact:
Name: Worden, Rebecca Doctor of Medicine (MD)
Phone: (978) 632-6445

Health care specialties

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

Profile Details

NPI number 1295717106
LBN Legal business name Mercy Family Practice Pc
DBA Doing business as
Authorized official Worden, Rebecca Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2005
Last updated Jan 29th, 2013 - 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 1295717106 NPPES
Massachusetts MEDICAID 9732250
Massachusetts MEDICAID 110069347-A

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