Modern Care Medical Group, Llc

LBN: Modern Care Medical Group, Llc
Modern Care Medical Group, Llc is an health care organization with primary practice located at 1075 Westford St Suite 204, Lowell MA 01851-2716. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Modern Care Medical Group, Llc can be contacted via phone (978) 452-2000, or through Hardie, Steve via phone (978) 452-2000.

Contact Information

Primary practice address
1075 Westford St Suite 204 Lowell MA 01851-2716
Fax: (978) 452-2001
Website:
Authorized official contact:
Name: Hardie, Steve

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 243604 Massachusetts

Profile Details

NPI number 1235411901
LBN Legal business name Modern Care Medical Group, Llc
DBA Doing business as
Authorized official Hardie, Steve
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2011
Last updated May 24th, 2012 - about 13 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 1235411901 NPPES
Massachusetts Other 0025815 MEDICARE GROUP PTAN
Massachusetts Other 002581601 MEDICARE GROUP PTAN

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