Coordinated Primary Care, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COORDINATED PRIMARY CARE, INC

Doing business as

CPC South Leominster Family Practice

Practice address

1069 Central St
Leominster, MA 01453-4805

Phone

(978) 534-3500

Fax

(978) 466-6307

NPI assigned

May 19, 2009

Organization subpart

Yes

Parent organization

COORDINATED PRIMARY CARE, INCAs reported in NPPES

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

Authorized official

Name

Phyllis Fabello

Title

Executive Director

Phone

(978) 466-4243

Specialties & licenses 1

Addresses

Other names 1

• CPC South Leominster Family Practice Doing business as

Part of

Coordinated Primary Care Inc

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1801021951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 CENTRAL ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014534805",
            "telephone_number": "978-534-3500",
            "fax_number": "978-466-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 CENTRAL ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014534805",
            "telephone_number": "978-534-3500",
            "fax_number": "978-466-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED PRIMARY CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COORDINATED PRIMARY CARE, INC",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "FABELLO",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-466-4243"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPC South Leominster Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Coordinated Primrary Care Inc (HealthAlliance Neurology)
• Julie Amy Coppenrath
• Erica Corley, LICSW

• Family Medicine Physician in Leominster, MA
• Providers in Leominster, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.