Merrimack Valley Pet Pc, NPI 1407802416
Radiology Clinic/Center in Methuen, MA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1407802416
NPI Entity Type Organization
Provider Name Merrimack Valley Pet Pc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 70 East St, Methuen, MA, US
Provider Mailing Address 354 Merrimack St, Entrance D, Lawrence, MA, US, 018431754
Is Sole Proprietor? No
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Organization Official

Official Name MR. Mark R Taylor
Official Position CEO
Phone 978-687-2321

Primary Taxonomy

Taxonomy Code

261QR0200X

Taxonomy Name Radiology Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. 67-0291
License State MA
Description Definition to come...

Other Organization Name

New England PET Imaging System
Doing Business As

Business Address

Merrimack Valley Pet Pc
70 East St

Methuen, MA, US

Phone: 978-689-4738
Fax: 978-682-0984

Mailing Address

Merrimack Valley Pet Pc
354 Merrimack St
Entrance D
Lawrence, MA, US
ZIP 018431754
Phone: 978-687-8187
Fax: 978-987-8185

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2330313 AETNA HMO 01
15Y002275MA02 BLUE CROSS OF NH 01
9723510 MA MEDICAID 05
685730 TUFTS 01
M17506 BLUE CROSS OF MA 01
0021989 NEIGHBORHOOD HELATH 01
626241 HARVARD PILGRIM 01

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NPI Name Taxonomy Address

1528553229

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MISS WHNP Megan Eileen Fickes

Individual

Psychiatric/Mental Health Registered Nurse

10 Carematrix Dr

Dedham, MA

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