1174547871 NPI number — NORTH ADAMS REGIONAL HOSPITAL

Table of content: (NPI 1174547871)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174547871 NPI number — NORTH ADAMS REGIONAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH ADAMS REGIONAL HOSPITAL
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:
1174547871
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
71 HOSPITAL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH ADAMS
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01247-2504
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-664-5000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
71 HOSPITAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH ADAMS
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01247-2504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-664-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PALMISANO
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
413-664-5000

Provider Taxonomy Codes

  • Taxonomy code: 273R00000X , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , 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: 000000020659 . This is a "BMC HEALTH NET" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 003032299 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2222005101 . This is a "INPATIENT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 2222005130 . This is a "ASU" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 00759137 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1001667 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 19856 . This is a "PROFESSIONAL MD ED" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 900236 . This is a "OUTPATIENT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 14868 . This is a "FACILITY" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 900029 . This is a "FACILITY" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000616 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2222005110 . This is a "OUTPATIENT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 905651 . This is a "INPATIENT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0220051 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1201476 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2222005150 . This is a "PSYCHIATRIC" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M19044 . This is a "PROFESSIONAL MD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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