Eliot Community Service Agency

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

ELIOT COMMUNITY SERVICE AGENCY

Practice address

10 Cabot Rd
Medford, MA 02155-5177

Phone

(617) 304-6320

NPI assigned

Jun 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marc Richute

Title

Family Partner

Phone

(617) 304-6320

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1225358245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CABOT ROAD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CABOT RD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555177",
            "telephone_number": "617-304-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOT COMMUNITY SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "RICHUTE",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "FAMILY PARTNER",
        "authorized_official_telephone_number": "617-304-6320"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Dyke, MD
• E E Barch PSYD LLC
• Steven E Eisen, DMD
• Element Family Dental
• Brian T Elie, PHARMD, RPH
• Rita Elkhoury
• Ellen Ellerbee
• Danielle Imani Ellis, MD
• Kerry Ellis
• Elm Psychotherapy LLC

• Health Maintenance Organization in Medford, MA
• Providers in Medford, MA by specialty
• Health Maintenance Organization in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.