Edgar Henry Ballenas in Plymouth - Rural
Edgar Henry Ballenas - NPI 1023192291
Edgar Henry Ballenas is a Rural in Plymouth, Massachusetts. Edgar Henry Ballenas practices all healthcare services and medical treatments related to Rural. The NPI Number for Edgar Henry Ballenas is 1023192291. The last update date is 2007-07-08.
Edgar Henry Ballenas's current location address is 275 Sandwich St, Plymouth, Massachusetts. You can contact this provider via phone number 5088302800. The mailing address for Edgar Henry Ballenas is 275 Sandwich St, Plymouth, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Henry Ballenas |
|---|---|
| Address | 275 Sandwich St, Plymouth, Massachusetts |
| Phone Number | 5088302800 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023192291 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 275 Sandwich St |
|---|---|
| City | Plymouth |
| State | Massachusetts (MA) |
| Post Code | 23602183 |
| Phone Number | 5088302800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rural |
|---|---|
| Taxonomy | 282Nr1301X |
| Licence No | 71683 |
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Definition: Provides comprehensive inpatient medical and surgical care in rural areas. |
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What is the unique identification code assigned to Edgar Henry Ballenas by the Centers for Medicare & Medicaid Services?
The Edgar Henry Ballenas has been issued the NPI (National Provider Identifier) 1023192291. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Edgar Henry Ballenas located?
The Edgar Henry Ballenas is located at 275 Sandwich St, Plymouth, MA 23602183.
What is Edgar Henry Ballenas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Edgar Henry Ballenas's specialized field of practice is Rural, and the corresponding taxonomy code that categorizes this area of specialization is 282Nr1301X.
On what date did the Edgar Henry Ballenas receive the assignment of its 1023192291 from the Centers for Medicare & Medicaid Services?
The Edgar Henry Ballenas was issued its 1023192291 by the Centers for Medicare & Medicaid Services on 2006-10-25.
As of what date were the details related to Edgar Henry Ballenas most recently updated or revised?
The information pertaining to Edgar Henry Ballenas, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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