Provider Demographics
| NPI: | 1326094905 |
|---|---|
| Name: | TRUMED INCORPORATED |
| Entity type: | Organization |
| Organization Name: | TRUMED INCORPORATED |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | DEBBY |
| Authorized Official - Middle Name: | L |
| Authorized Official - Last Name: | MEDEIROS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 508-675-1522 |
| Mailing Address - Street 1: | 528 NEWTON ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | FALL RIVER |
| Mailing Address - State: | MA |
| Mailing Address - Zip Code: | 02721-2366 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 508-675-1522 |
| Mailing Address - Fax: | 508-676-5647 |
| Practice Address - Street 1: | 528 NEWTON ST |
| Practice Address - Street 2: | |
| Practice Address - City: | FALL RIVER |
| Practice Address - State: | MA |
| Practice Address - Zip Code: | 02721-2366 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 508-675-1522 |
| Practice Address - Fax: | 508-676-5647 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-05-26 |
| Last Update Date: | 2012-11-19 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| MA | 0037831 | Other | NEIGHBORHOOD HELATH PLAN |
| MA | 010460 | Other | TUFTS HEALTH PLAN |
| MA | 1609821651 | Other | NATIONAL PROVIDER IDENTIFIER |
| MA | 2019540 | Medicaid | |
| MA | 2117177 | Medicaid | |
| MA | AA98069 | Other | PILGRIM HEALTH CARE |
| MA | P00373184 | Other | RAILROAD MEDICARE |
| MA | 000000049693 | Other | BMC HEALTHNET |
| RI | 1245229384 | Other | BCBS RI |
| MA | 1245229384 | Other | NEIGHBORHOOD HEALTH PLAN |
| 1316922149 | Other | NATIONAL PROVIDER IDENTIFIER | |
| MA | 3694205 | Other | AETNA, US HEALTHCARE |
| MA | 9709860 | Medicaid | |
| MA | 964850-01 | Other | NETWORK HEALTH |
| MA | 9842957 | Other | CIGNA |
| MA | AA77017 | Other | PILGRIM HEALTH CARE |
| MA | J18522 | Other | BLUECROSS/BLUE SHIELD OF MASS |
| RI | 1316922149 | Other | BLUE CHIP RI (HMO)/BLUE CROSS BLUE SHIELD OF RI |
| MA | 6601003 | Other | UNITED HEALTHCARE OF N.E. |
| MA | 68741 | Other | HARVARD PILGRIM |
| MA | 9735721 | Medicaid | |
| MA | 1245229384 | Other | CELTICARE HEALTH PLAN OF MASS |
| MA | 408537 | Other | BLUE CHIP OF R.I. |
| MA | 712059 | Other | TUFTS |
| MA | 7372256 | Other | AETNA MA |
| MA | 96427402 | Other | NETWORK HEALTH |
| MA | J23685 | Other | BCBS MA |
| MA | NP415101 | Other | BLUE CROSS BLUE SHIELD OF MA |
| MA | 000000044649 | Other | BOSTON MEDICAL CENTER |
| MA | 0322024 | Medicaid | |
| MA | 110094147A | Medicaid | |
| MA | 1790880490 | Other | BOSTON MEDICAL CENTER |
| MA | 2001781 | Medicaid | |
| MA | 29247-6 | Other | RHODE ISLAND BLUE CROSS BLUE SHIELD |
| RI | 1245229384 | Other | BLUE CHIP RI (HMO) |
| MA | 792971 | Other | TUFTS HEALTH PLAN |
| MA | AA84681 | Other | HARVARD PILGRIM |
| MA | M18892 | Other | BLUE CROSS BLU SHIELD OF MASS |
| MA | NP415101 | Other | MEDICARE |
| MA | 0X1477 | Medicare PIN | |
| MA | HX4038 | Medicare PIN | |
| MA | P00373184 | Other | RAILROAD MEDICARE |
| MA | 408537 | Other | BLUE CHIP OF R.I. |
| MA | 1790880490 | Other | BOSTON MEDICAL CENTER |
| MA | 2001781 | Medicaid |
