Acorn Health Services, PC
Organization Active NPI Primary Care Clinic/Center · Northborough, MA
NPI 1477073138 · NPPES record last updated Jun 23, 2017
Key facts
- NPI
- 1477073138
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 249400 (MA)
- Legal business name
- ACORN HEALTH SERVICES, PC
- Practice address
- 112 Main St Ste 104
Northborough, MA 01532-1914 - Phone
- (508) 691-6086
- Fax
- (888) 592-2954
- NPI assigned
- Jun 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Karl F Liebermann, DO
- Title
- Physician/President
- Phone
- (207) 299-5749
Practitioners 1
-
Karl F Liebermann, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171107001537 | MA | Part B Supplier - Clinic/Group Practice | 5991061954 |
Receives reassigned benefits from 1 practitioner Practice locations: Northborough, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 249400 | MA | |
| Primary Care Clinic/Center | 261QP2300X | 249400 | MA | Yes |
Addresses
Primary practice location
112 Main St Ste 104
Northborough, MA 01532-1914
Mailing address
PO Box 1038
Northborough, MA 01532-4038
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.