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Organization

IHS OF MASSACHUSETTS LLC

Active
Other names
Quincy Center Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHLEEN MCDONNELL RN, BSN (PRESIDENT/COO)
(617) 328-7707
Entity
Organization

Contact information

Practice address
1250 HANCOCK ST, SUITE 110-N, QUINCY, MA 02169-4339
(617) 328-7707
(617) 328-7787
Mailing address
6001 BROKEN SOUND PKWY, SUITE 502, BOCA RATON, FL 33487-2765
(561) 443-0743
(561) 443-7296

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110091529B
MA
Enumeration date
07/21/2011
Last updated
02/06/2015
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