Provider Demographics
NPI:1245439397
Name:QUINSIGAMOND COMMUNITY COLLEGE
Entity type:Organization
Organization Name:QUINSIGAMOND COMMUNITY COLLEGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAVEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-854-4207
Mailing Address - Street 1:670 W BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2064
Mailing Address - Country:US
Mailing Address - Phone:508-853-2300
Mailing Address - Fax:508-854-4553
Practice Address - Street 1:670 W BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2064
Practice Address - Country:US
Practice Address - Phone:508-853-2300
Practice Address - Fax:508-854-4553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental