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WORCESTER ATHLETIC CLUB NPI 1538639869


NPI Information

NPI: 1538639869
Provider Name: WORCESTER ATHLETIC CLUB
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
440 GROVE ST
WORCESTER, MA
ZIP 01605
Phone: (508) 852-8209
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WORCESTER ATHLETIC CLUB is a clinic center in Worcester, MA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WORCESTER ATHLETIC CLUB NPI is 1538639869. The provider is registered as an organization entity type.

The provider's business location address is:

440 GROVE ST
WORCESTER, MA
ZIP 01605-268
Phone: (508) 852-8209

The provider's authorized official is Andrea Shliapa .
The authorized official title is Owner and has the following contact phone number (508) 852-8209.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 11/29/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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