Provider Demographics
NPI:1568905503
Name:TOTAL HEALTH, P.C.
Entity Type:Organization
Organization Name:TOTAL HEALTH, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:VIVEIROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-997-8500
Mailing Address - Street 1:PO BOX 946
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02741-0946
Mailing Address - Country:US
Mailing Address - Phone:508-675-2840
Mailing Address - Fax:508-675-8032
Practice Address - Street 1:524 UNION ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-3546
Practice Address - Country:US
Practice Address - Phone:508-675-2840
Practice Address - Fax:508-675-8032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-23
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110108238AMedicaid