Patton Park Medical Center
LBN: Willow Street Family Practice Inc
Patton Park Medical Center is an health care organization with primary practice located at 42 Asbury St , South Hamilton MA 01982-1808. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Willow Street Family Practice Inc can be contacted via phone (978) 468-4101, or through Smith, Bruce W via phone (978) 468-4101.
Contact Information
Primary practice address
42 Asbury St
South Hamilton MA 01982-1808
Phone: (978) 468-4101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 70411 | Massachusetts |
Profile Details
| NPI number | 1619034410 |
|---|---|
| LBN Legal business name | Willow Street Family Practice Inc |
| DBA Doing business as | Patton Park Medical Center |
| Authorized official | Smith, Bruce W Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 29th, 2015 - about 10 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 | 1619034410 | NPPES |
| Massachusetts | Other | M18879 | BCBS GROUP PROVIDER NUMBE |
| Massachusetts | MEDICAID | 9738240 | BCBS GROUP PROVIDER NUMBE |
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