1538315312 NPI number — O'CONNELL PROFESSIONAL NURSE SERVICE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538315312 NPI number — O'CONNELL PROFESSIONAL NURSE SERVICE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
O'CONNELL PROFESSIONAL NURSE SERVICE INC.
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:
1538315312
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 FEDERAL ST
Provider Second Line Business Mailing Address:
BUILDING 103-1
Provider Business Mailing Address City Name:
SPRINGFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01105-1199
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-533-1030
Provider Business Mailing Address Fax Number:
413-536-7699

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 FEDERAL ST
Provider Second Line Business Practice Location Address:
BUILDING 103-1
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01105-1199
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-533-1030
Provider Business Practice Location Address Fax Number:
413-536-7699
Provider Enumeration Date:
08/13/2008

Additional Information

Authorized Official

Authorized Official Last Name:
O'CONNELL
Authorized Official First Name:
FRANCIS
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
413-533-1030

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7365 . This is a "DIVISION OF OCCUPATIONAL SAFETY" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: TWMC . This is a "DEPARTMENT OF PUBLIC HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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