Phuong Mazza
Clinic/Center, Federally Qualified Health Center (FQHC) in Springfield, Massachusetts
1104720366- Practice location
- 1049 Main St, Springfield, MA 01103-2114
- Phone
- 413-739-1100
- Fax
- —
- Last updated
- October 2, 2026
Phuong Mazza is a Clinic/Center, Federally Qualified Health Center (FQHC) based in Springfield, MA. Phuong Mazza practices in Springfield, MA. The NPI Number for Phuong Mazza is 1104720366 and holds a License No. RN2354588 (MA). The current practice location address for Phuong Mazza is 1049 Main St, Springfield, MA 01103-2114 and can be reached out via phone at 413-739-1100.
Provider Profile Details
- NPI Number
- 1104720366
- Provider Name
- Phuong Mazza
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1049 Main St, Springfield, MA 01103-2114
- Phone Number
- 413-739-1100
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 2, 2026
- Last Update Date
- October 2, 2026
- Certification Date
- October 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1049 Main St
Springfield, MA 01103-2114 - City
- Springfield
- State
- Massachusetts
- Zip
- 01103-2114
- Phone Number
- 413-739-1100
Provider Business Mailing Address Details
- Address
- 1049 Main St
Springfield, MA 01103-2114 - City
- Springfield
- State
- MA
- Zip
- 01103-2114
License Information
- License Number
- RN2354588
- License State
- MA
- Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Phuong Mazza?
The NPI number of Phuong Mazza is 1104720366. It was assigned on October 2, 2026 and is currently active in the NPPES registry.
What is the specialty of Phuong Mazza?
Phuong Mazza is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X), licensed in MA under license number RN2354588.
Where does Phuong Mazza practice?
The practice location is 1049 Main St, Springfield, MA 01103-2114. The office can be reached at 413-739-1100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104720366 directly on the NPPES registry website.