HARBOR HEALTH SERVICES, INC. (NPI# 1568892859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568892859 |
| Entity Type | Organization |
| Organization Name | HARBOR HEALTH SERVICES, INC. |
| Other Organization Name | HARBOR COMMUNITY HEALTH CENTER, PLYMOUTH |
| Practice Address |
10 Cordage Park Cir Suite 115 Plymouth MA 02360-7318 |
| Mailing Address |
1135 Morton St Mattapan MA 02126-2834 |
| Practice Telephone | 5087785470 |
| Practice Fax Number | 5087785421 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | CHARLES T. JONES (CEO) |
| Authorized Official Telephone | 6175332350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASSHEALTH | 110027821 | 01 |
| Other Name | Type Code |
|---|---|
| Harbor Community Health Center, Plymouth | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376502070 | Harbor Health Services, Inc. | Clinic/Center | 735 Attucks Ln, Hyannis, MA 02601-1867 | 2006-03-21 |
| 1881692366 | Harbor Health Services, Inc. | Clinic/Center | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2005-07-08 |
| 1154801314 | Harbor Health Services, Inc. | Dentist | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2018-08-17 |
| 1548684814 | Harbor Health Services, Inc. | Pharmacy | 735 Attucks Ln, Hyannis, MA 02601-1867 | 2014-02-07 |
| 1215365275 | Harbor Health Services, Inc. | Registered Nurse | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2013-10-29 |
| 1811245392 | Harbor Health Services, Inc. | Clinic/Center | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2012-08-15 |
| 1780848465 | Harbor Health Services, Inc. | Clinic/Center | 1135 Morton Street, Mattapan, MA 02126-2834 | 2008-07-11 |
| 1144296815 | Harbor Health Services, Inc. | Social Worker | 14 Sycamore Way, Branford, CT 06405-6551 | 2006-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HARBOR HEALTH SERVICES, INC. | 1135 Morton St, Mattapan, MA 02126-2834 |
| Connecticut Business Registrations | HARBOR HEALTH SERVICES, INC. | 14 Sycamore Way, Branford, CT 06405 |
| Street Address |
10 CORDAGE PARK CIR SUITE 115 |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-7318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134105646 | Matthew J Tierney | Surgery | 10 Cordage Park Cir, Suite 227, Plymouth, MA 02360-7318 | 2005-12-16 |
| 1679045942 | Tricia R Preble | Registered Nurse | 10 Cordage Park Cir, Plymouth, MA 02360-7318 | 2018-12-26 |
| 1578039442 | Cassandra Nicole Williams | Registered Nurse | 10 Cordage Park Cir, Plymouth, MA 02360-7318 | 2018-10-18 |
| 1386125193 | Nichole Michelle Holmes | Registered Nurse | 10 Cordage Park Cir, Plymouth, MA 02360-7318 | 2018-08-29 |
| 1952889842 | Jennette Madeline Veras-gil | Dental Hygienist | 10 Cordage Park Cir, Plymouth, MA 02360-7318 | 2018-08-01 |
| 1972089969 | Tayler M. Murray | Physician Assistant | 10 Cordage Park Cir, Plymouth, MA 02360-7318 | 2018-07-13 |
| 1609371061 | Samantha Montigny | Registered Nurse | 10 Cordage Park Cir, Plymouth, MA 02360-7318 | 2018-03-28 |
| 1427589720 | Loretta Lane | Registered Nurse | 10 Cordage Park Cir, Suite 115, Plymouth, MA 02360-7318 | 2017-03-27 |
| 1881134484 | Jasmine Stephens | Physical Therapist | 10 Cordage Park Cir, Plymouth, MA 02360-7318 | 2017-03-01 |
| 1871036012 | Thaissa Maduro-jones | Registered Nurse | 10 Cordage Park Cir, Suite 115, Plymouth, MA 02360-7318 | 2016-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1194927814 | Saint Joseph Regional Medical Center Plymouth Campus, Inc. | Clinic/Center | 116 E Washington St, Plymouth, IN 46563-1744 | 2007-06-04 |
| 1033327754 | Millennium Pharmacy | Clinic/Center | 1102 Ann Arbor Rd W, Plymouth, MI 48170-2131 | 2007-05-18 |
| 1275687634 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-23 |
| 1104970714 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-22 |
| 1235283847 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-22 |
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| 1619369022 | Melissa Quast | Clinic/Center | 151 Run Hill Rd, Brewster, MA 02631-2374 | 2015-02-22 |
| 1992001457 | Mashpee Service Unit/indian Health Service | Clinic/Center | 483 Great Neck Road South, Building 002-health Clinic, Mashpee, MA 02649 | 2011-02-01 |
| 1407086937 | Springfield Dept of Health & Human Services | Clinic/Center | 769 Worthington Street, Hsh Dental Clinic, Springfeld, MA 01105-1112 | 2009-07-17 |
| 1619143500 | Lowell General Hospital | Clinic/Center | 295 Varnum Ave Rm 75, Lowell, MA 01854-2134 | 2008-05-01 |
| 1891816930 | Sunrise-amanecer Inc. | Clinic/Center | 19 Milford St, Springfield, MA 01107-1332 | 2007-04-03 |
| 1033257522 | Lemuel Shattuck Hosp | Clinic/Center | 9 Brewer St, Jamaica Plain, MA 02130-4032 | 2007-02-05 |
| 1932266533 | Roxbury Comprehensive Community Health Center, Inc. | Clinic/Center | 435 Warren St, Roxbury, MA 02119-1833 | 2007-01-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.