Provider Demographics
NPI:1447361837
Name:FRANCIS HOLISTIC MEDICAL CENTER, P.C.
Entity type:Organization
Organization Name:FRANCIS HOLISTIC MEDICAL CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:LACAVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-854-1380
Mailing Address - Street 1:360 W BOYLSTON ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WEST BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01583-2365
Mailing Address - Country:US
Mailing Address - Phone:508-854-1380
Mailing Address - Fax:508-854-0446
Practice Address - Street 1:360 W BOYLSTON ST
Practice Address - Street 2:SUITE 107
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-2365
Practice Address - Country:US
Practice Address - Phone:508-854-1380
Practice Address - Fax:508-854-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA133N00000X, 207K00000X, 207Q00000X, 208000000X, 208D00000X
175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA685050OtherTUFTS HEALTH PLAN
MAM17745OtherBLUE CROSS BLUE SHIELD
MA9705830Medicaid
MAM20966Medicare ID - Type UnspecifiedMEDICARE