Active NPI
Focused Primary Care PC
- Primary Care Clinic/Center
- Southbridge, MA
National Provider Identifier
1912626615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- FOCUSED PRIMARY CARE PC
- Practice address
- 100 South St Ste G08
Southbridge, MA 01550-4051 - Phone
- (508) 764-2620
- NPI assigned
- Aug 25, 2022
- 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
- Mrs. Eileen Marie Kane, NP
- Title
- Owner/Nurse Practitioner
- Phone
- (508) 764-2620
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
100 South St Ste G08
Southbridge, MA 01550-4051
Mailing address
100 South St Ste G08
Southbridge, MA 01550-4051
Phone (508) 764-2620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 South St
Ste G08
Southbridge, MA 01550
Phone (508) 764-2620
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Southbridge, MA
- NPI 1700062262
-
- Gerontology Nurse Practitioner
- Worcester, MA
- NPI 1356076228
-
- Family Nurse Practitioner
- Holden, MA
- NPI 1245978980
-
- Internal Medicine Physician
- Southbridge, MA
- NPI 1043246978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682467200000",
"number": "1912626615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SOUTH ST STE G08",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015504051",
"telephone_number": "508-764-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SOUTH ST STE G08",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015504051",
"telephone_number": "508-764-2620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOCUSED PRIMARY CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-25",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A",
"authorized_official_last_name": "KANE",
"authorized_official_first_name": "EILEEN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "508-764-2620",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.