- Practice location
- 240 Cadwell Dr, Springfield, MA 01104-1743
- Phone
- 413-788-0014
- Fax
- —
- Last updated
- July 17, 2024
Revitalize Cdc is a healthcare organization based in Springfield, MA. Revitalize Cdc practices in Springfield, MA. The NPI Number for Revitalize Cdc is 1538908751. The current practice location address for Revitalize Cdc is 240 Cadwell Dr, Springfield, MA 01104-1743 and can be reached out via phone at 413-788-0014.
Provider Profile Details
- NPI Number
- 1538908751
- Provider Name
- Revitalize Cdc
- Provider Entity Type
- Organization
- Address
- 240 Cadwell Dr, Springfield, MA 01104-1743
- Phone Number
- 413-788-0014
- Primary Taxonomy
- Contractor · 171W00000X
- Organization Subpart
- No
- Authorized Official
- Rita Longe · Senior Manager · 413-472-6850
- Other Names
- Revitalize Cdc (Doing Business As)
- Provider Enumeration Date
- May 20, 2024
- Last Update Date
- July 17, 2024
- Certification Date
- July 17, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 240 Cadwell Dr
Springfield, MA 01104-1743 - City
- Springfield
- State
- Massachusetts
- Zip
- 01104-1743
- Phone Number
- 413-788-0014
Provider Business Mailing Address Details
- Address
- 240 Cadwell Dr
Springfield, MA 01104-1743 - City
- Springfield
- State
- MA
- Zip
- 01104-1743
License Information
- Taxonomy (1)
- Contractor · 171W00000X · Primary
- Taxonomy (2)
- Contractor, Home Modifications · 171WH0202X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Kayla M Cardona, DNPNurse Practitioner, Family · NPI 1114822046
- Jay D Markham, MDInternal Medicine, Cardiovascular Disease · NPI 1427022508
- Mashrafi Ahmed, MDInternal Medicine, Cardiovascular Disease · NPI 1265759328
- James T Buffum, MDInternal Medicine, Cardiovascular Disease · NPI 1508820366
Frequently Asked Questions
What is the NPI number of Revitalize Cdc?
The NPI number of Revitalize Cdc is 1538908751. It was assigned on May 20, 2024 and is currently active in the NPPES registry.
What is the specialty of Revitalize Cdc?
Revitalize Cdc is registered under the primary taxonomy Contractor (code 171W00000X).
Where does Revitalize Cdc practice?
The practice location is 240 Cadwell Dr, Springfield, MA 01104-1743. The office can be reached at 413-788-0014 (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 1538908751 directly on the NPPES registry website.