Provider Demographics
NPI:1447638796
Name:CAMBRIDGE HEALTH ALLIANCE
Entity type:Organization
Organization Name:CAMBRIDGE HEALTH ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGHORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-306-8258
Mailing Address - Street 1:1494 CAMBRIDGE ST
Mailing Address - Street 2:PRIMARY CARE CLINIC
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-1004
Mailing Address - Country:US
Mailing Address - Phone:860-306-8258
Mailing Address - Fax:
Practice Address - Street 1:158 CONCORD RD
Practice Address - Street 2:APT M25
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-4609
Practice Address - Country:US
Practice Address - Phone:860-306-8258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2286244261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care