Webster Square Medical Center, Inc
LBN: Webster Square Medical Center, Inc
Webster Square Medical Center, Inc is an health care organization with primary practice located at 255 Park Ave Suite 400, Worcester MA 01609-1953. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Webster Square Medical Center, Inc can be contacted via phone (508) 755-9776, or through Goljan, Walter Keaton via phone (508) 755-9776.
Contact Information
Primary practice address
255 Park Ave Suite 400
Worcester MA 01609-1953
Phone: (508) 755-9776
Fax: (508) 793-0715
Website:
Authorized official contact:
Name: Goljan, Walter Keaton Doctor of Medicine (MD)
Phone: (508) 755-9776
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52685 | Massachusetts |
Profile Details
| NPI number | 1619188281 |
|---|---|
| LBN Legal business name | Webster Square Medical Center, Inc |
| DBA Doing business as | |
| Authorized official | Goljan, Walter Keaton Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Feb 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619188281 | NPPES |
| Massachusetts | MEDICAID | 9768939 | |
| Massachusetts | MEDICAID | Z096803 |
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