Provider Demographics
NPI:1124177746
Name:PARKHILL FAMILY PRACTICE
Entity type:Organization
Organization Name:PARKHILL FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FLUET
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:978-345-1919
Mailing Address - Street 1:155 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-5140
Mailing Address - Country:US
Mailing Address - Phone:978-345-1919
Mailing Address - Fax:978-342-6240
Practice Address - Street 1:155 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-5140
Practice Address - Country:US
Practice Address - Phone:978-345-1919
Practice Address - Fax:978-342-6240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9785159Medicaid