Renaissance Primary Care, LLC
Internal Medicine in Southbridge, Massachusetts
1649729021- Practice location
- 11-15 Sandersdale Road, Southbridge, MA 01550
- Phone
- 774-420-2311
- Fax
- 508-519-0763
- Last updated
- July 15, 2025
Renaissance Primary Care, LLC is a healthcare organization based in Southbridge, MA. Renaissance Primary Care, LLC practices in Southbridge, MA. The NPI Number for Renaissance Primary Care, LLC is 1649729021. The current practice location address for Renaissance Primary Care, LLC is 11-15 Sandersdale Road, Southbridge, MA 01550 and can be reached out via phone at 774-420-2311 and via fax at 508-519-0763.
Provider Profile Details
- NPI Number
- 1649729021
- Provider Name
- Renaissance Primary Care, LLC
- Provider Entity Type
- Organization
- Address
- 11-15 Sandersdale Road, Southbridge, MA 01550
- Phone Number
- 774-420-2311
- Fax Number
- 508-519-0763
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. James Manuel, PSYCHOLOGIST · Psychologist · 774-420-2311
- Provider Enumeration Date
- September 27, 2016
- Last Update Date
- July 15, 2025
- Certification Date
- July 15, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11-15 Sandersdale Road
Southbridge, MA 01550 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550
- Phone Number
- 774-420-2311
- Fax Number
- 508-519-0763
Provider Business Mailing Address Details
- Address
- 11-15 Sandersdale Road
Southbridge, MA 01550 - City
- Southbridge
- State
- MA
- Zip
- 01550
- Phone Number
- 774-420-2311
- Fax Number
- 508-519-0763
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Psychologist · 103T00000X
- Taxonomy (3)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Taxonomy (4)
- Clinic/Center, Primary Care · 261QP2300X
- Taxonomy (5)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Southbridge, MA
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- Dr. Adam A Paszkowski, MDInternal Medicine · NPI 1306872452
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Frequently Asked Questions
What is the NPI number of Renaissance Primary Care, LLC?
The NPI number of Renaissance Primary Care, LLC is 1649729021. It was assigned on September 27, 2016 and is currently active in the NPPES registry.
What is the specialty of Renaissance Primary Care, LLC?
Renaissance Primary Care, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).
Where does Renaissance Primary Care, LLC practice?
The practice location is 11-15 Sandersdale Road, Southbridge, MA 01550. The office can be reached at 774-420-2311 (phone) or 508-519-0763 (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 1649729021 directly on the NPPES registry website.