Provider Demographics
NPI:1720226012
Name:SIMMONS COLLEGE HEALTH CENTER
Entity Type:Organization
Organization Name:SIMMONS COLLEGE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMDIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:617-521-1020
Mailing Address - Street 1:94 PILGRIM ROAD
Mailing Address - Street 2:SIMMONS COLLEGE HEALTH CENTER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:94 PILGRIM ROAD
Practice Address - Street 2:SIMMONS COLLEGE HEALTH CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-521-1020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIMMONS COLLEGE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA184392261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service