Active NPI
Health Clinic Inc
Doing business as Metromedic
- Family Medicine Physician
- New Bedford, MA
National Provider Identifier
1427436625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALTH CLINIC INC
- Doing business as
- Metromedic
- Practice address
- 1155 Purchase St
New Bedford, MA 02740-6634 - Phone
- (508) 997-2900
- Fax
- (508) 991-4432
- NPI assigned
- May 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carol Ann Habib
- Title
- Of. MGR.
- Phone
- (508) 679-0010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1155 Purchase St
New Bedford, MA 02740-6634
Mailing address
429 Plymouth Ave
Fall River, MA 02721-4231
Phone (508) 679-0010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110067720A | Medicaid | MA |
Other names 1
- Metromedic
National Provider Directory
National Provider Directory- Tax ID family
- Health Clinic Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- New Bedford, MA
- NPI 1023304656
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- New Bedford, MA
- NPI 1861566606
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1609821651
-
- Family Nurse Practitioner
- New Bedford, MA
- NPI 1497049860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431043200000",
"number": "1427436625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 PLYMOUTH AVE",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027214231",
"telephone_number": "508-679-0010",
"fax_number": "508-672-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 PURCHASE ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027406634",
"telephone_number": "508-997-2900",
"fax_number": "508-991-4432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-08",
"status": "A",
"authorized_official_last_name": "HABIB",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OF. MGR.",
"authorized_official_telephone_number": "508-679-0010",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110067720A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Metromedic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.