Basic Information
Provider Information | |||||||||
NPI: | 1871564757 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | MORROW | ||||||||
FirstName: | ALISON | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | CNM | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 630 PLANTATION ST | ||||||||
Address2: |   | ||||||||
City: | WORCESTER | ||||||||
State: | MA | ||||||||
PostalCode: | 01605 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5083683110 | ||||||||
FaxNumber: | 5083683113 | ||||||||
Practice Location | |||||||||
Address1: | 123 SUMMER ST | ||||||||
Address2: | SUITE 150 S | ||||||||
City: | WORCESTER | ||||||||
State: | MA | ||||||||
PostalCode: | 01608 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5083683110 | ||||||||
FaxNumber: | 5083683113 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/30/2006 | ||||||||
LastUpdateDate: | 02/20/2009 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | 193852 | MA | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |   |
ID Information
ID | Type | State | Issuer | Description | 0380971 | 05 | MA |   | MEDICAID | 420000609 | 01 |   | RAILROAD MEDICARE | OTHER | 9339245 | 01 |   | CIGNA HEALTH PLAN | OTHER | 7731598 | 01 |   | AETNA US HEALTHCARE | OTHER | CN0161 | 01 |   | BLUE SHIELD INDEMNITY | OTHER | RN0022 | 01 |   | MEDICARE B | OTHER | 042472266 | 01 |   | THREE RIVERS | OTHER | 61221 | 01 |   | FALLON COMMUNITY HEALTH P | OTHER | AA3472 | 01 |   | HARVARD PILGRIM HEALTHCAR | OTHER | 0380971 | 01 |   | WELFARE | OTHER | 042472266 | 01 |   | PRIVATE HEALTHCARE SYSTEM | OTHER | CN0161 | 01 |   | BLUE SHIELD HMO BLUE | OTHER | CN0161 | 01 |   | BLUE CARE ELECT | OTHER | 80064 | 01 |   | HEALTHY START | OTHER |