Provider Demographics
NPI:1841353158
Name:WPI HEALTH SERVICES
Entity type:Organization
Organization Name:WPI HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:508-831-5520
Mailing Address - Street 1:100 INSTITUTE ROAD
Mailing Address - Street 2:WPI HEALTH SERVICES
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-2247
Mailing Address - Country:US
Mailing Address - Phone:508-831-5520
Mailing Address - Fax:508-831-5953
Practice Address - Street 1:100 INSTITUTE ROAD
Practice Address - Street 2:WPI HEALTH SERVICES
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-2247
Practice Address - Country:US
Practice Address - Phone:508-831-5520
Practice Address - Fax:508-831-5953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health