Baystate Northern Edge Adult Medicine
Point of Service in Springfield, Massachusetts
1295289056- Practice location
- 3400 Main St, Springfield, MA 01199-1003
- Phone
- 413-799-8777
- Fax
- 413-799-8266
- Last updated
- August 10, 2016
Baystate Northern Edge Adult Medicine is a healthcare organization based in Springfield, MA. Baystate Northern Edge Adult Medicine practices in Springfield, MA. The NPI Number for Baystate Northern Edge Adult Medicine is 1295289056 and holds a License No. 48101 (MA). The current practice location address for Baystate Northern Edge Adult Medicine is 3400 Main St, Springfield, MA 01199-1003 and can be reached out via phone at 413-799-8777 and via fax at 413-799-8266.
Provider Profile Details
- NPI Number
- 1295289056
- Provider Name
- Baystate Northern Edge Adult Medicine
- Provider Entity Type
- Organization
- Address
- 3400 Main St, Springfield, MA 01199-1003
- Phone Number
- 413-799-8777
- Fax Number
- 413-799-8266
- Primary Taxonomy
- Point of Service · 305S00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Eugene Boss · MD · 413-794-8777
- Provider Enumeration Date
- August 10, 2016
- Last Update Date
- August 10, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3400 Main St
Springfield, MA 01199-1003 - City
- Springfield
- State
- Massachusetts
- Zip
- 01199-1003
- Phone Number
- 413-799-8777
- Fax Number
- 413-799-8266
Provider Business Mailing Address Details
- Address
- 3400 Main St
Springfield, MA 01199-1003 - City
- Springfield
- State
- MA
- Zip
- 01199-1003
- Phone Number
- 413-799-8777
- Fax Number
- 413-799-8266
License Information
- License Number
- 48101
- License State
- MA
- Taxonomy
- Point of Service · 305S00000X · 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 Baystate Northern Edge Adult Medicine?
The NPI number of Baystate Northern Edge Adult Medicine is 1295289056. It was assigned on August 10, 2016 and is currently active in the NPPES registry.
What is the specialty of Baystate Northern Edge Adult Medicine?
Baystate Northern Edge Adult Medicine is registered under the primary taxonomy Point of Service (code 305S00000X), licensed in MA under license number 48101.
Where does Baystate Northern Edge Adult Medicine practice?
The practice location is 3400 Main St, Springfield, MA 01199-1003. The office can be reached at 413-799-8777 (phone) or 413-799-8266 (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 1295289056 directly on the NPPES registry website.