Organization Active NPI

Cambridge Health Alliance

  • Clinic/Center
  • Medford, MA
National Provider Identifier
1780120485
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
LN93725 Issued in MA
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

Updated by the provider on Jan 18, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.