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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