Mill City Medical Group Ltd

LBN: Mill City Medical Group Ltd
Mill City Medical Group Ltd is an health care organization with primary practice located at 45 Palmer Street , Lowell MA 01852. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mill City Medical Group Ltd can be contacted via phone (978) 970-1607, or through Pickul, David C via phone (978) 970-1607.

Contact Information

Primary practice address
45 Palmer Street Lowell MA 01852
Phone: (978) 970-1607
Fax: (978) 970-1115
Website:
Map and Directions
Authorized official contact:
Name: Pickul, David C Doctor of Medicine (MD)
Phone: (978) 970-1607

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1053346692
LBN Legal business name Mill City Medical Group Ltd
DBA Doing business as
Authorized official Pickul, David C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 22nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053346692 NPPES
Massachusetts MEDICAID 9719628

Popular Providers