Provider Demographics
NPI:1639224157
Name:HEALTH AWARENESS SERVICES
Entity Type:Organization
Organization Name:HEALTH AWARENESS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:508-485-8792
Mailing Address - Street 1:200 E MAIN ST
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-2638
Mailing Address - Country:US
Mailing Address - Phone:508-485-8792
Mailing Address - Fax:508-485-8793
Practice Address - Street 1:200 E MAIN ST
Practice Address - Street 2:BUILDING 2
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-2638
Practice Address - Country:US
Practice Address - Phone:508-485-8792
Practice Address - Fax:508-485-8793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA763435OtherTUFTS HEALTH PLAN
MANPG005OtherBLUE CROSS BLUE SHIELD
MA9749497Medicaid