Active NPI
Cambridge Health Alliance
- Clinic/Center
- Medford, MA
National Provider Identifier
1780120485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- LN93725
- Legal business name
- CAMBRIDGE HEALTH ALLIANCE
- Practice address
- 287 Main St
Medford, MA 02155-6163 - Phone
- (781) 539-2593
- NPI assigned
- Jan 18, 2017
- 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
- Amy King
- Title
- Recruitment Coordinator
- Phone
- (617) 591-4252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | LN93725 | MA | Primary |
Addresses
Primary practice location
287 Main St
Medford, MA 02155-6163
Mailing address
287 Main St
Medford, MA 02155-6163
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484697600000",
"number": "1780120485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 MAIN ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 MAIN ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556163",
"telephone_number": "781-539-2593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIDGE HEALTH ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-18",
"last_updated": "2017-01-18",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "RECRUITMENT COORDINATOR",
"authorized_official_telephone_number": "617-591-4252"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MA",
"license": "LN93725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.