Provider Demographics
NPI:1578620886
Name:PULMONARY CARE, P.C.
Entity Type:Organization
Organization Name:PULMONARY CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:L
Authorized Official - Last Name:COOMBES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-235-6277
Mailing Address - Street 1:1030 PRESIDENT AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5923
Mailing Address - Country:US
Mailing Address - Phone:508-676-3411
Mailing Address - Fax:508-677-0167
Practice Address - Street 1:1030 PRESIDENT AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5923
Practice Address - Country:US
Practice Address - Phone:508-676-3411
Practice Address - Fax:508-677-0167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1364OtherNEIGHBORHOOD HEALTH PLANS
MAM12675OtherBLUE CROSS BLUE SHIELD
MA000804OtherNEIGHBORHOOD HEALTH PLANS
MA9731300Medicaid
RIPC04762Medicaid
MA9731300Medicaid
MA000804OtherNEIGHBORHOOD HEALTH PLANS