Provider Demographics
NPI:1316492903
Name:WALK-IN PHYSICIANS INC
Entity type:Organization
Organization Name:WALK-IN PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ELLIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRIBUSH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-499-2921
Mailing Address - Street 1:510 NORTH STREET
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201
Mailing Address - Country:US
Mailing Address - Phone:413-499-0237
Mailing Address - Fax:413-499-2762
Practice Address - Street 1:510 NORTH STREET
Practice Address - Street 2:SUITE #5
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201
Practice Address - Country:US
Practice Address - Phone:413-499-0237
Practice Address - Fax:413-499-2762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110068803AMedicaid
MA110068803AMedicaid