Kennedy Donovan Center
Specialist in Southbridge, Massachusetts
1386001105- Practice location
- 486 Worcester St, Southbridge, MA 01550-1386
- Phone
- 508-765-0292
- Fax
- 508-765-0294
- Last updated
- January 25, 2016
Kennedy Donovan Center is a healthcare organization based in Southbridge, MA. Kennedy Donovan Center practices in Southbridge, MA. The NPI Number for Kennedy Donovan Center is 1386001105 and holds a License No. R32101 (MA). The current practice location address for Kennedy Donovan Center is 486 Worcester St, Southbridge, MA 01550-1386 and can be reached out via phone at 508-765-0292 and via fax at 508-765-0294.
Provider Profile Details
- NPI Number
- 1386001105
- Provider Name
- Kennedy Donovan Center
- Provider Entity Type
- Organization
- Address
- 486 Worcester St, Southbridge, MA 01550-1386
- Phone Number
- 508-765-0292
- Fax Number
- 508-765-0294
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- Yes
- Parent Organization
- Kennedy Donovan Center
- Authorized Official
- Rick Bornstein, CPA · Cfo · 508-772-1230
- Provider Enumeration Date
- January 25, 2016
- Last Update Date
- January 25, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 486 Worcester St
Southbridge, MA 01550-1386 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-1386
- Phone Number
- 508-765-0292
- Fax Number
- 508-765-0294
Provider Business Mailing Address Details
- Address
- 1 Commercial St
Foxboro, MA 02035-2530 - City
- Foxboro
- State
- MA
- Zip
- 02035-2530
- Phone Number
- 508-772-1230
- Fax Number
- 508-203-8714
License Information
- License Number
- R32101
- License State
- MA
- Taxonomy
- Specialist · 174400000X · 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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- Debra Smith, DEV SPECIALISTSpecialist · NPI 1730364399
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Frequently Asked Questions
What is the NPI number of Kennedy Donovan Center?
The NPI number of Kennedy Donovan Center is 1386001105. It was assigned on January 25, 2016 and is currently active in the NPPES registry.
What is the specialty of Kennedy Donovan Center?
Kennedy Donovan Center is registered under the primary taxonomy Specialist (code 174400000X), licensed in MA under license number R32101.
Where does Kennedy Donovan Center practice?
The practice location is 486 Worcester St, Southbridge, MA 01550-1386. The office can be reached at 508-765-0292 (phone) or 508-765-0294 (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 1386001105 directly on the NPPES registry website.