Provider Demographics
NPI:1356669741
Name:BEDFORD HEALTH CENTER INC
Entity Type:Organization
Organization Name:BEDFORD HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:978-256-7809
Mailing Address - Street 1:55 NORTH RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1021
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 NORTH RD
Practice Address - Street 2:SUITE 125
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1021
Practice Address - Country:US
Practice Address - Phone:978-256-7809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care