is a Federally Qualified Health Center (fqhc) in Hyannis, Massachusetts. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for is 1588616742. The last update date is .
's current location address is 94 Main St, Hyannis, Massachusetts. You can contact this provider via phone number 5087719599 and fax number 5087711986. The mailing address for is 94 Main St, Hyannis, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 94 Main St, Hyannis, Massachusetts |
| Phone Number | 5087719599 |
| Fax Number | 5087711986 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1588616742 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 94 Main St |
|---|---|
| City | Hyannis |
| State | Massachusetts (MA) |
| Post Code | 26013146 |
| Phone Number | 5087719599 |
| Fax Number | 5087711986 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110028173B | MA | -- | |
| S100222299 | MA | MEDICARE PART B |
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