Evergreen Valley Medical, Pc in Wrentham - Portable X-ray And/or Other Portable Diagnostic Imaging Supplier
Evergreen Valley Medical, Pc - NPI 1225171630
Evergreen Valley Medical, Pc is a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier in Wrentham, Massachusetts. Evergreen Valley Medical, Pc practices all healthcare services and medical treatments related to Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The NPI Number for Evergreen Valley Medical, Pc is 1225171630. The last update date is 2020-08-22.
Evergreen Valley Medical, Pc's current location address is Po Box 511, Wrentham, Massachusetts. You can contact this provider via phone number 5089307659. The mailing address for Evergreen Valley Medical, Pc is Po Box 511, Wrentham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Valley Medical, Pc |
|---|---|
| Address | Po Box 511, Wrentham, Massachusetts |
| Phone Number | 5089307659 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fagien Michael |
| Credentials | MD |
| Telephone Number | 5089307659 |
NPI Number Detail
| NPI Number | 1225171630 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 511 |
|---|---|
| City | Wrentham |
| State | Massachusetts (MA) |
| Post Code | 20930511 |
| Phone Number | 5089307659 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Portable X-ray And/or Other Portable Diagnostic Imaging Supplier |
|---|---|
| Taxonomy | 335V00000X |
|
Definition: A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all st |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Evergreen Valley Medical, Pc by the Centers for Medicare & Medicaid Services?
The Evergreen Valley Medical, Pc has been assigned the NPI (National Provider Identifier) 1225171630 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Evergreen Valley Medical, Pc's facilities are geographically located?
The facilities of Evergreen Valley Medical, Pc are physically situated at the following location: Po Box 511, Wrentham, MA, 20930511.
What is Evergreen Valley Medical, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Evergreen Valley Medical, Pc's specialized field of practice is Portable X-ray And/or Other Portable Diagnostic Imaging Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 335V00000X.
On what date did Evergreen Valley Medical, Pc receive its 1225171630 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Valley Medical, Pc was assigned its 1225171630 on 2007-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Evergreen Valley Medical, Pc most recently updated or refreshed?
The details pertaining to the Evergreen Valley Medical, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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