Dodge Park Llc

ActiveOrganizationSpecialty not listed
NPI issued: August 7, 2007

Quick Facts

NPI Number
1104017961
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy311ZA0620X — Specialty not listed
Phone
(508) 853-8180
StateMA

NPI Validation Status: Verified

Valid 10-digit NPI number (1104017961)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 7, 2007)
Data source: CMS NPPES

Provider Overview

DODGE PARK LLC is a Healthcare provider based in Worcester, MA who has been registered with CMS since 2007. They are affiliated with Dodge Park Rest Home. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104017961
Provider TypeOrganization
StatusActive
Enumeration DateAugust 7, 2007

Practice Location

CityWorcester
StateMA
ZIP Code01606-2463
Phone(508) 853-8180

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code311ZA0620X
License StateMA

Mailing Address

CityWorcester
StateMA
ZIP Code01606-2463
Phone(508) 853-8180
Same as practice location

Hospital & Organization Affiliations

🏢

Dodge Park Rest Home

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How to Use This NPI

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For Insurance Billing

Use NPI 1104017961 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104017961for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104017961 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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5,925
Specialty not listed Providers in the US

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People Also Ask

What is Dodge Park Llc's NPI number?
Dodge Park Llc's NPI number is 1104017961, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Dodge Park Llc's NPI currently active?
Yes, Dodge Park Llc's NPI status is Active as of the latest CMS NPPES database updates.
What does Dodge Park Llc specialize in?
Dodge Park Llc specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 311ZA0620X.
Where does Dodge Park Llc practice?
Dodge Park Llc practices in Worcester, MA 01606-2463.
When was Dodge Park Llc's NPI issued?
Dodge Park Llc's NPI was issued on August 7, 2007.
What is Dodge Park Llc's provider type?
Dodge Park Llc is registered as an Organization under CMS NPI Type 2.