Active NPIOrganization

Greater New Life Christian Center

Clinic/Center, Adult Mental Health in Indian Orchard, Massachusetts

NPI Number1164796322
Practice location
1323 Worcester St, Indian Orchard, MA 01151-1621
Fax
413-304-2078
Last updated
March 5, 2012

Greater New Life Christian Center is a healthcare organization based in Indian Orchard, MA. Greater New Life Christian Center practices in Indian Orchard, MA. The NPI Number for Greater New Life Christian Center is 1164796322 and holds a License No. 0869 (MA). The current practice location address for Greater New Life Christian Center is 1323 Worcester St, Indian Orchard, MA 01151-1621 and can be reached out via phone at 413-304-2077 and via fax at 413-304-2078.

Provider Profile Details

NPI Number
1164796322
Provider Name
Greater New Life Christian Center
Provider Entity Type
Organization
Address
1323 Worcester St, Indian Orchard, MA 01151-1621
Phone Number
413-304-2077
Fax Number
413-304-2078
Primary Taxonomy
Clinic/Center, Adult Mental Health · 261QM0850X
Organization Subpart
No
Authorized Official
Mr. Morris Stimage-Norwood, REV · Executive Director · 413-304-2077
Provider Enumeration Date
March 5, 2012
Last Update Date
March 5, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1323 Worcester St
Indian Orchard, MA 01151-1621
Zip
01151-1621
Phone Number
413-304-2077
Fax Number
413-304-2078
Indian Orchard, MA 01151Get directions →

Provider Business Mailing Address Details

Address
1323 Worcester St
Indian Orchard, MA 01151-1621
City
Indian Orchard
State
MA
Zip
01151-1621
Phone Number
413-304-2077
Fax Number
413-304-2078

License Information

License Number
0869
License State
MA
Taxonomy
Clinic/Center, Adult Mental Health · 261QM0850X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Greater New Life Christian Center?

The NPI number of Greater New Life Christian Center is 1164796322. It was assigned on March 5, 2012 and is currently active in the NPPES registry.

What is the specialty of Greater New Life Christian Center?

Greater New Life Christian Center is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X), licensed in MA under license number 0869.

Where does Greater New Life Christian Center practice?

The practice location is 1323 Worcester St, Indian Orchard, MA 01151-1621. The office can be reached at 413-304-2077 (phone) or 413-304-2078 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164796322 directly on the NPPES registry website.

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