EVERGREEN VALLEY MEDICAL, PC
NPI 1225171630
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Wrentham, MA

Q: What is Evergreen Valley Medical, PC's NPI number?

The NPI number for Evergreen Valley Medical, PC is 1225171630. It was assigned to this organization in the NPPES registry on February 15, 2007.

Q: What is Evergreen Valley Medical, PC's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

Active since February 15, 2007

170 TILTING ROCK RD, WRENTHAM, MA 02093(508) 930-7659 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Evergreen Valley Medical, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN VALLEY MEDICAL, PC (NPI 1225171630) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in Wrentham, Massachusetts and active in the NPI registry since February 2007. The organization lists Michael Fagien, Owner, as its authorized official.

NPPES Registry Identity

NPI1225171630

Entity TypeOrganization

Primary Taxonomy335V00000X

Legal Business NameEVERGREEN VALLEY MEDICAL, PC

Location Address170 TILTING ROCK RDWrentham, MA 02093-1358

Mailing AddressPo Box 511Wrentham, MA 02093-0511 · (508) 930-7659

Phone(508) 930-7659

Organization SubpartNo

Authorized OfficialMichael FagienOwner · (508) 930-7659

Enumeration DateFebruary 15, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1225171630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPortable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers

Taxonomy Code335V00000X

Definition

A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

170 TILTING ROCK RD, Wrentham, MA 02093

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Valley Medical, PC's NPI number?

The NPI number for Evergreen Valley Medical, PC is 1225171630. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Evergreen Valley Medical, PC located?

Evergreen Valley Medical, PC is located at 170 Tilting Rock Rd, Wrentham, MA 02093. The listed phone number is (508) 930-7659.

What is Evergreen Valley Medical, PC's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Valley Medical, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.