NPIMap

Organization Active NPI

Coordinated Primary Care, Inc.

Doing business as HealthAlliance Pediatric Hospitalists Group

  • Hospitalist Physician
  • Leominster, MA
National Provider Identifier
1851623714
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
COORDINATED PRIMARY CARE, INC.
Doing business as
HealthAlliance Pediatric Hospitalists Group
Practice address
60 Hospital Rd
Leominster, MA 01453-2205
Phone
(978) 466-2257
Fax
(978) 466-2291
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Phyllis Fabello
Title
Exec Director
Phone
(978) 466-4268

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA
Hospitalist Physician 208M00000X MA Primary

Addresses

Primary practice location

60 Hospital Rd
Leominster, MA 01453-2205

Mailing address

60 Hospital Rd
Leominster, MA 01453-2205
Phone (978) 466-2257

Other identifiers 2

IdentifierTypeStateIssuer
110072006AMedicaidMA
M20928OtherMAMEDICARE GROUP NUMBER

Other names 1

  • HealthAlliance Pediatric Hospitalists Group Doing business as

National Provider Directory

National Provider Directory

Locations

155 Franklin Rd
Fitchburg, MA 01420
Phone (978) 342-6240

100 Hospital Rd
Ste 2A
Leominster, MA 01453
Phone (978) 466-2692

50 Memorial Dr
Ste 210
Leominster, MA 01453
Phone (978) 466-2339

Practitioners & affiliated clinicians

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1851623714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532205",
            "telephone_number": "978-466-2257",
            "fax_number": "978-466-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532205",
            "telephone_number": "978-466-2257",
            "fax_number": "978-466-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "FABELLO",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "978-466-4268"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110072006A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "M20928",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthAlliance Pediatric Hospitalists Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.