Organization
COORDINATED PRIMARY CARE, INC.
Active
Other names
HEALTHALLIANCE
Organization subpart
No
Provider details
NPI number
Authorized official
JASON VELLEN (BILLING MANAGER)
(978) 466-2067
Entity
Organization
Contact information
Practice address
60 HOSPITAL ROAD, LEOMINSTER, MA 01453-2238
(978) 466-4243
(978) 466-2238
Mailing address
60 HOSPITAL ROAD, LEOMINSTER, MA 01453-2238
(978) 466-4243
(978) 466-2238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072006A
—
MA
05
—
9771476
—
MA
Enumeration date
05/11/2007
Last updated
04/28/2010
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