1750326161 NPI number — HAMPSHIRE PATHOLOGISTS, INC.

Table of content: (NPI 1467189894)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750326161 NPI number — HAMPSHIRE PATHOLOGISTS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAMPSHIRE PATHOLOGISTS, 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:
1750326161
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:
291 MOODY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LUDLOW
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01056-1246
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-866-6663
Provider Business Mailing Address Fax Number:
413-589-7554

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 LOCUST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTHAMPTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01060-2052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-582-2175
Provider Business Practice Location Address Fax Number:
413-582-2954
Provider Enumeration Date:
06/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GLANTZ
Authorized Official First Name:
LISA
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
413-584-4090

Provider Taxonomy Codes

  • Taxonomy code: 207ZC0500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 50000PMS19 . This is a "CT BLUE SHIELD" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 0008668 . This is a "NEIGHBOORHOOD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M13829 . This is a "BCBS MA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0463289 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: S006844 . This is a "CHAMPVA/TRICARE-CHAMPUS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 9734244 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: W40841 . This is a "NY BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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