Phoenix Healthcare, LLC
Family Medicine, Addiction Medicine in Gloucester, Massachusetts
1679022651- Practice location
- 61 Prospect St, Gloucester, MA 01930-5929
- Phone
- 617-669-3171
- Fax
- —
- Last updated
- October 1, 2016
Phoenix Healthcare, LLC is a healthcare organization based in Gloucester, MA. Phoenix Healthcare, LLC practices in Gloucester, MA. The NPI Number for Phoenix Healthcare, LLC is 1679022651 and holds a License No. 216727 (MA). The current practice location address for Phoenix Healthcare, LLC is 61 Prospect St, Gloucester, MA 01930-5929 and can be reached out via phone at 617-669-3171.
Provider Profile Details
- NPI Number
- 1679022651
- Provider Name
- Phoenix Healthcare, LLC
- Provider Entity Type
- Organization
- Address
- 61 Prospect St, Gloucester, MA 01930-5929
- Phone Number
- 617-669-3171
- Primary Taxonomy
- Family Medicine, Addiction Medicine · 207QA0401X
- Organization Subpart
- No
- Authorized Official
- Yvonne Smikle, MD · Owner/Member · 617-669-3171
- Provider Enumeration Date
- October 1, 2016
- Last Update Date
- October 1, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 61 Prospect St
Gloucester, MA 01930-5929 - City
- Gloucester
- State
- Massachusetts
- Zip
- 01930-5929
- Phone Number
- 617-669-3171
Provider Business Mailing Address Details
- Address
- 61 Prospect St
Gloucester, MA 01930-5929 - City
- Gloucester
- State
- MA
- Zip
- 01930-5929
- Phone Number
- 617-669-3171
License Information
- License Number
- 216727
- License State
- MA
- Taxonomy
- Family Medicine, Addiction Medicine · 207QA0401X · 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 Phoenix Healthcare, LLC?
The NPI number of Phoenix Healthcare, LLC is 1679022651. It was assigned on October 1, 2016 and is currently active in the NPPES registry.
What is the specialty of Phoenix Healthcare, LLC?
Phoenix Healthcare, LLC is registered under the primary taxonomy Family Medicine, Addiction Medicine (code 207QA0401X), licensed in MA under license number 216727.
Where does Phoenix Healthcare, LLC practice?
The practice location is 61 Prospect St, Gloucester, MA 01930-5929. The office can be reached at 617-669-3171 (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 1679022651 directly on the NPPES registry website.