Provider Demographics
NPI:1083420509
Name:MASHPEE SERVICE UNIT /INDIAN HEALTH SERVICE
Entity type:Organization
Organization Name:MASHPEE SERVICE UNIT /INDIAN HEALTH SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACTING CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:REELS-PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-477-6967
Mailing Address - Street 1:483B GREAT NECK RD S
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3483
Mailing Address - Country:US
Mailing Address - Phone:508-477-6967
Mailing Address - Fax:508-477-0607
Practice Address - Street 1:70 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1466
Practice Address - Country:US
Practice Address - Phone:413-586-8400
Practice Address - Fax:866-644-0872
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MASHPEE SERVICE UNIT/INDIAN HEALTH SERVICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-09
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332800000XSuppliersIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyGroup - Multi-Specialty