# COORDINATED PRIMARY CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COORDINATED PRIMARY CARE, INC
- **Other names:** CPC South Leominster Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801021951
- **Legal business name:** COORDINATED PRIMARY CARE, INC
- **Authorized official:** PHYLLIS FABELLO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (978) 466-4243

## Contact information

- **Practice address:** 1069 CENTRAL ST, LEOMINSTER, MA 01453-4805
- **Practice address phone:** (978) 534-3500
- **Practice address fax:** (978) 466-6307
- **Mailing address:** 1069 CENTRAL ST, LEOMINSTER, MA 01453-4805
- **Mailing address phone:** (978) 534-3500
- **Mailing address fax:** (978) 466-6307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2009
- **Last updated:** 06/11/2009