Provider Demographics
NPI:1104884642
Name:UMASS MEMORIAL HEALTH CARE, INC.
Entity type:Organization
Organization Name:UMASS MEMORIAL HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ST. GERMAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-798-3171
Mailing Address - Street 1:60 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-2205
Mailing Address - Country:US
Mailing Address - Phone:978-728-0621
Mailing Address - Fax:978-537-0134
Practice Address - Street 1:60 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-2205
Practice Address - Country:US
Practice Address - Phone:978-728-0621
Practice Address - Fax:978-798-3137
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UMASS MEMORIAL HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-03
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7241251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA786419OtherNETWORK HEALTH HOSPICE
MA110024329BMedicaid
MA6325OtherFALLON HOSPICE
MD221524OtherBCBS HOSPICE
MA702076OtherHAVARD PILGRIM HOSPICE
MA802737OtherTUFTS HMO-HOSPICE
MA0604925Medicaid
MA6325OtherFALLON HOSPICE