Organization
WHATELY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE FERRANTI KENNEDY NURSE PRACTITIONER (PRESIDENT)
(413) 665-0176
Entity
Organization
Contact information
Practice address
181 STATE ROAD, WHATELY, MA 01093
(413) 665-0176
(413) 397-9760
Mailing address
PO BOX 205, WHATELY, MA 01093-0205
(413) 665-0176
(413) 397-9760
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
169563
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9709444
—
MA
01
—
NP2260
MEDICARE INDIVIDUAL
MA
Enumeration date
01/09/2008
Last updated
08/10/2008
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