Organization · Type 2 NPI
Premise Health of Massachusetts Medical PC
Primary Care Clinic/Center · Worcester, MA
NPI number
1295039196
Active
Practice location
440 Lincoln St
Worcester, MA 01653
Fax (508) 855-6199
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1295039196
Premise Health of Massachusetts Medical PC's National Provider Identifier is 1295039196, issued on Jan 6, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Worcester, MA. The record was last updated on Feb 10, 2026.