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Organization
TRUSTEES OF PHILLIPS ACADEMY
Active
Organization
TRUSTEES OF PHILLIPS ACADEMY
Active
Other names
Isham Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY PATEL M.D. (MEDICAL DIRECTOR)
(978) 749-4461
Entity
Organization
Contact information
Practice address
180 MAIN ST, ANDOVER, MA 01810-4166
(978) 749-4455
(978) 749-4452
Mailing address
180 MAIN ST, ANDOVER, MA 01810-4166
(978) 749-4455
(978) 749-4469
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
EXEMPT
MA
282N00000X
General Acute Care Hospital
2165
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2226000910
BCBS OF MASSACHUSETT
MA
Enumeration date
11/03/2006
Last updated
10/15/2014
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