Provider Demographics
NPI:1205883089
Name:ORLEANS MEDICAL CENTER, P.C.
Entity type:Organization
Organization Name:ORLEANS MEDICAL CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:C
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-255-8825
Mailing Address - Street 1:204 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ORLEANS
Mailing Address - State:MA
Mailing Address - Zip Code:02653-3428
Mailing Address - Country:US
Mailing Address - Phone:508-255-8825
Mailing Address - Fax:
Practice Address - Street 1:204 MAIN ST
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653-3428
Practice Address - Country:US
Practice Address - Phone:508-255-8825
Practice Address - Fax:508-240-3117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA906428OtherTUFTS HEALTHCARE
MAM17092OtherBLUE CROSS BLUE SHIELD
MA9784438Medicaid
=========OtherCIGNA HEALTHCARE
=========OtherUNITED HEALTHCARE
MAM17092OtherBLUE CROSS BLUE SHIELD
MA906428OtherTUFTS HEALTHCARE
MA=========OtherCOMMONWEATH INDEMNITY
MA9784438Medicaid
=========OtherCIGNA HEALTHCARE