Provider Demographics
NPI:1932455193
Name:NP HOUSE/CLINIC CALLS, LLC
Entity type:Organization
Organization Name:NP HOUSE/CLINIC CALLS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FNP-BC
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:PROCTORWENDLING
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:413-281-0780
Mailing Address - Street 1:31 ERIC DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-8324
Mailing Address - Country:US
Mailing Address - Phone:413-447-9104
Mailing Address - Fax:413-447-9699
Practice Address - Street 1:31 ERIC DR
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-8324
Practice Address - Country:US
Practice Address - Phone:413-447-9104
Practice Address - Fax:413-447-9699
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NP HOUSE/CLINIC CALLS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA233810261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1255485686Medicare UPIN