Evergreen Valley Medical, PC
Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier in Wrentham, Massachusetts
1225171630- Practice location
- 170 Tilting Rock RD, Wrentham, MA 02093-1358
- Phone
- 508-930-7659
- Fax
- —
- Last updated
- August 22, 2020
Evergreen Valley Medical, PC is a healthcare organization based in Wrentham, MA. Evergreen Valley Medical, PC practices in Wrentham, MA. The NPI Number for Evergreen Valley Medical, PC is 1225171630. The current practice location address for Evergreen Valley Medical, PC is 170 Tilting Rock RD, Wrentham, MA 02093-1358 and can be reached out via phone at 508-930-7659.
Provider Profile Details
- NPI Number
- 1225171630
- Provider Name
- Evergreen Valley Medical, PC
- Provider Entity Type
- Organization
- Address
- 170 Tilting Rock RD, Wrentham, MA 02093-1358
- Phone Number
- 508-930-7659
- Primary Taxonomy
- Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier · 335V00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Michael Fagien, MD · Owner · 508-930-7659
- Provider Enumeration Date
- February 15, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Tilting Rock RD
Wrentham, MA 02093-1358 - City
- Wrentham
- State
- Massachusetts
- Zip
- 02093-1358
- Phone Number
- 508-930-7659
Provider Business Mailing Address Details
- Address
- Po Box 511
Wrentham, MA 02093-0511 - City
- Wrentham
- State
- MA
- Zip
- 02093-0511
- Phone Number
- 508-930-7659
License Information
- Taxonomy
- Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier · 335V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Evergreen Valley Medical, PC?
The NPI number of Evergreen Valley Medical, PC is 1225171630. It was assigned on February 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Evergreen Valley Medical, PC?
Evergreen Valley Medical, PC is registered under the primary taxonomy Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (code 335V00000X).
Where does Evergreen Valley Medical, PC practice?
The practice location is 170 Tilting Rock RD, Wrentham, MA 02093-1358. The office can be reached at 508-930-7659 (phone).
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 1225171630 directly on the NPPES registry website.