Baystate Mary Lane Hospital

LBN: Baystate Mary Lane Hospital Corporation
Baystate Mary Lane Hospital is an health care organization with primary practice located at 85 South St , Ware MA 01082-1625. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Baystate Mary Lane Hospital Corporation can be contacted via phone (413) 967-6211, or through Chalke, Dennis W via phone (413) 794-3290.

Contact Information

Primary practice address
85 South St Ware MA 01082-1625
Phone: (413) 967-6211
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chalke, Dennis W
Phone: (413) 794-3290

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 2148 Massachusetts
Hospitals / General Acute Care Hospital 282N00000X 2148 Massachusetts

Profile Details

NPI number 1144221847
LBN Legal business name Baystate Mary Lane Hospital Corporation
DBA Doing business as Baystate Mary Lane Hospital
Authorized official Chalke, Dennis W
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2005
Last updated Mar 11th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144221847 NPPES
Massachusetts MEDICAID 1003674
Massachusetts MEDICAID 1948946
Massachusetts MEDICAID 1201131

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