Coordinated Primary Care, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COORDINATED PRIMARY CARE, INC.

Practice address

155 Franklin Rd
Fitchburg, MA 01420-5140

Phone

(978) 345-1919

Fax

(978) 342-6240

NPI assigned

Apr 23, 2009

Organization subpart

Yes

Parent organization

COORDINATED PRIMARY CAREAs 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) 466-4268

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CPC Parkhill 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": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1982848867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 FRANKLIN RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205140",
            "telephone_number": "978-345-1919",
            "fax_number": "978-342-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 FRANKLIN RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205140",
            "telephone_number": "978-345-1919",
            "fax_number": "978-342-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED PRIMARY CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COORDINATED PRIMARY CARE",
        "enumeration_date": "2009-04-23",
        "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": "978-466-4268"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9771476",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPC Parkhill Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanine Cooper, RN
• Coordinated Primary Care
• Coordinated Primary Care
• Coordinated Primary Care, Inc.
• Coordinated Primary Care, Inc.
• Coordinated Primay Care Inc
• Patricia Cordio
• Core Communication Center, LLC
• Elizabeth A Corley
• Tamra L Corliss, RN

• Family Medicine Physician in Fitchburg, MA
• Providers in Fitchburg, 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.