BAYSTATE MEDICAL CENTER INC (NPI# 1295736098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295736098 |
| Entity Type | Organization |
| Organization Name | BAYSTATE MEDICAL CENTER INC |
| Other Organization Name | BAYSTATE HOME INFUSION & RESPIRATORY SERVICES |
| Practice Address |
211 Carando Dr Springfield MA 01104-3213 |
| Practice Telephone | 4137944663 |
| Practice Fax Number | 4137945599 |
| Mailing Telephone | 4137944663 |
| Mailing Fax Number | 4137945599 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | MR. DENNIS W CHALKE (SR VP, CFO & TREAS, BAYSTATE HEALTH) |
| Authorized Official Telephone | 4137943290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 3300 | MA | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
3300 | MA | Suppliers |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
3300 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110020829A | 05 |
| Other Name | Type Code |
|---|---|
| Baystate Home Infusion & Respiratory Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013392117 | Baystate Medical Center Inc | Pharmacy | 759 Chestnut St, Daly 3 Pharmacy, Springfield, MA 01199-1001 | 2015-07-30 |
| 1124125547 | Baystate Medical Center Inc | Pharmacy | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-09-20 |
| 1568488450 | Baystate Medical Center Inc | General Acute Care Hospital | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-07-14 |
| 1487655064 | Baystate Medical Center Inc | Clinic/Center | 759 Chestnut St, Springfield, MA 01199-1001 | 2005-08-09 |
| 1497756282 | Baystate Medical Center Inc | Psychiatric Unit | 759 Chestnut St, Springfield, MA 01199-1001 | 2005-08-03 |
| Street Address |
211 CARANDO DR |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519188 | Coram Healthcare Corporation of Massachusetts | Home Health | 211 Carando Dr, Springfield, MA 01104-3213 | 2018-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
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| 1972922003 | Americoast Springfield LLC | Durable Medical Equipment & Medical Supplies | 3351 S 6th Street Rd Ste 8, Springfield, IL 62703-4785 | 2014-04-16 |
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| 1588899124 | First Community Care, LLC | Durable Medical Equipment & Medical Supplies | 3351 S 6th Street, Suite 8, Springfield, IL 62703-4776 | 2009-05-27 |
| 1497997183 | 4u Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 3900 Wood Duck Dr, Suite B, Springfield, IL 62711-7048 | 2009-03-27 |
| 1245432699 | Comfort Medical Equipment Co | Durable Medical Equipment & Medical Supplies | 240 Morris Ave, Springfield, NJ 07081-1212 | 2007-06-05 |
| 1245355841 | Michael L. Goff, II Dba Medical Services | Durable Medical Equipment & Medical Supplies | 203 5th Ave E, Springfield, TN 37172-2420 | 2007-03-20 |
| 1205983111 | Forensic Testing Services, LLC | Durable Medical Equipment & Medical Supplies | 630 N Prince Ln, Springfield, MO 65802-6303 | 2007-01-04 |
| 1720198286 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 2127 W Vista St, Springfield, MO 65807-5919 | 2006-08-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
Please comment or provide details below to improve the information on BAYSTATE MEDICAL CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.