1154613784 NPI number — ALBER HEARING SERVICES, PC

Table of content: (NPI 1154613784)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154613784 NPI number — ALBER HEARING SERVICES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALBER HEARING SERVICES, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154613784
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
489 BERNARDSTON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01301-1238
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-774-0100
Provider Business Mailing Address Fax Number:
413-774-0115

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
489 BERNARDSTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01301-1238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-774-0100
Provider Business Practice Location Address Fax Number:
413-774-0115
Provider Enumeration Date:
05/16/2011

Additional Information

Authorized Official

Authorized Official Last Name:
ALBER
Authorized Official First Name:
LISA
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
413-774-0100

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  541 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 110084408A . This is a "MASS. HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 70010000AD0237 . This is a "BLUE CROSS/BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0014037 . This is a "MEDICARE PTAN#" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 165575 . This is a "FALLON COMMUNITY HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 47585 . This is a "HEALTH NEW ENGLAND" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 754536 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 106144 . This is a "BMC HEALHNET" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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