NPIMap

Organization Active NPI

Family Medical Center Inc.

  • General Practice Physician
  • Swansea, MA
National Provider Identifier
1881836997
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
39079 Issued in MA
Legal business name
FAMILY MEDICAL CENTER INC.
Doing business as
Family medical center
Practice address
1010 Gar Highway
Swansea, MA 02777-0000
Phone
(508) 676-6800
Fax
(508) 324-9582
NPI assigned
Apr 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Kunjbala Sharma, MD
Title
Director
Phone
(508) 676-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 39079 MA Primary

Addresses

Primary practice location

1010 Gar Highway
Swansea, MA 02777-0000

Mailing address

1010 Gar Highway Rout 6
Swansea, MA 02777
Phone (508) 676-6800

Other identifiers 1

IdentifierTypeStateIssuer
9765239MedicaidMA

Other names 1

  • Family medical center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1881836997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 GAR HIGHWAY ROUT 6",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "02777",
            "telephone_number": "508-676-6800",
            "fax_number": "508-324-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 GAR HIGHWAY",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027770000",
            "telephone_number": "508-676-6800",
            "fax_number": "508-324-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "KUNJBALA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-676-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "39079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9765239",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family medical center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.