Provider Demographics
NPI:1699073049
Name:AMBULATORY EMPLOYEE INDUSTRIAL OCCUPATIONAL URGENT HEALTHCARE
Entity type:Organization
Organization Name:AMBULATORY EMPLOYEE INDUSTRIAL OCCUPATIONAL URGENT HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SATTARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-461-3530
Mailing Address - Street 1:170 UNIVERSITY DR
Mailing Address - Street 2:STE. 202
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2247
Mailing Address - Country:US
Mailing Address - Phone:413-461-3530
Mailing Address - Fax:413-461-3532
Practice Address - Street 1:170 UNIVERSITY DR
Practice Address - Street 2:STE. 202
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2247
Practice Address - Country:US
Practice Address - Phone:413-461-3530
Practice Address - Fax:413-461-3532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care