Active NPIOrganization

Src Springfield, INC.

Skilled Nursing Facility in Springfield, Massachusetts

NPI Number1265483796
Practice location
215 Bicentennial Hwy, Springfield, MA 01118-1962
Fax
413-783-4020
Last updated
October 5, 2012

Src Springfield, INC. is a healthcare organization based in Springfield, MA. Src Springfield, INC. practices in Springfield, MA. The NPI Number for Src Springfield, INC. is 1265483796 and holds a License No. 0899 (MA). The current practice location address for Src Springfield, INC. is 215 Bicentennial Hwy, Springfield, MA 01118-1962 and can be reached out via phone at 413-796-7511 and via fax at 413-783-4020.

Provider Profile Details

NPI Number
1265483796
Provider Name
Src Springfield, INC.
Provider Entity Type
Organization
Address
215 Bicentennial Hwy, Springfield, MA 01118-1962
Phone Number
413-796-7511
Fax Number
413-783-4020
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Ms. Tamilyn M. Levin, ESQ · Cfo · 781-707-9510
Other Names
Wingate At Springfield Rehab. & Skilled Nsg. Residence (Doing Business As)
Provider Enumeration Date
May 12, 2006
Last Update Date
October 5, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
215 Bicentennial Hwy
Springfield, MA 01118-1962
Zip
01118-1962
Phone Number
413-796-7511
Fax Number
413-783-4020
Springfield, MA 01118Get directions →

Provider Business Mailing Address Details

Address
63 Kendrick St
Needham, MA 02494-2708
City
Needham
State
MA
Zip
02494-2708
Phone Number
781-707-9085
Fax Number
781-707-9285

License Information

License Number
0899
License State
MA
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Src Springfield, INC.?

The NPI number of Src Springfield, INC. is 1265483796. It was assigned on May 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Src Springfield, INC.?

Src Springfield, INC. is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0899.

Where does Src Springfield, INC. practice?

The practice location is 215 Bicentennial Hwy, Springfield, MA 01118-1962. The office can be reached at 413-796-7511 (phone) or 413-783-4020 (fax).

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 1265483796 directly on the NPPES registry website.

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