The Longfellow Club

LBN: Sudbury Racquet Club Inc.
The Longfellow Club is an health care organization with primary practice located at 524 Boston Post Rd The Longfellow Club, Wayland MA 01778-1833. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty. Sudbury Racquet Club Inc. can be contacted via phone (508) 358-7355, or through Polley, Jane via phone (508) 358-7355.

Contact Information

Primary practice address
524 Boston Post Rd The Longfellow Club Wayland MA 01778-1833
Phone: (508) 358-7355
Fax: (508) 358-3525
Website:
Map and Directions
Authorized official contact:
Name: Polley, Jane M.S., R.D., LDN
Phone: (508) 358-7355

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1003981903
LBN Legal business name Sudbury Racquet Club Inc.
DBA Doing business as The Longfellow Club
Authorized official Polley, Jane M.S., R.D., LDN
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2006
Last updated Jun 9th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003981903 NPPES
Massachusetts Other 763282 TUFTS
Massachusetts Other LG0023 TUFTS
Massachusetts Other 5582051 TUFTS
Massachusetts Other 6300209 TUFTS
Massachusetts Other 39411 TUFTS

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