Active NPIOrganization

Holyoke Mmtp, LLC

Clinic/Center, Methadone Clinic in Holyoke, Massachusetts

NPI Number1952984767
Practice location
1233 Main St, Holyoke, MA 01040-5381
Fax
—
Last updated
April 29, 2021

Holyoke Mmtp, LLC is a healthcare organization based in Holyoke, MA. Holyoke Mmtp, LLC practices in Holyoke, MA. The NPI Number for Holyoke Mmtp, LLC is 1952984767. The current practice location address for Holyoke Mmtp, LLC is 1233 Main St, Holyoke, MA 01040-5381 and can be reached out via phone at 413-701-2600.

Provider Profile Details

NPI Number
1952984767
Provider Name
Holyoke Mmtp, LLC
Provider Entity Type
Organization
Address
1233 Main St, Holyoke, MA 01040-5381
Phone Number
413-701-2600
Primary Taxonomy
Clinic/Center, Methadone Clinic · 261QM2800X
Organization Subpart
No
Authorized Official
Mr. Michael Krupa, EDD · Ceo · 978-615-5200
Other Names
Miravista Behavioral Health Center (Doing Business As)
Provider Enumeration Date
April 29, 2021
Last Update Date
April 29, 2021
Certification Date
April 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1233 Main St
Holyoke, MA 01040-5381
Zip
01040-5381
Phone Number
413-701-2600
Holyoke, MA 01040Get directions →

Provider Business Mailing Address Details

Address
85 Patton RD
Devens, MA 01434-4401
City
Devens
State
MA
Zip
01434-4401
Phone Number
978-615-5200

License Information

Taxonomy
Clinic/Center, Methadone Clinic · 261QM2800X · 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 Holyoke Mmtp, LLC?

The NPI number of Holyoke Mmtp, LLC is 1952984767. It was assigned on April 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Holyoke Mmtp, LLC?

Holyoke Mmtp, LLC is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X).

Where does Holyoke Mmtp, LLC practice?

The practice location is 1233 Main St, Holyoke, MA 01040-5381. The office can be reached at 413-701-2600 (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 1952984767 directly on the NPPES registry website.

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