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NPI Code Detail

MEDICARE: ADCARE HOSPITAL OF WORCESTER, INC.

MEDICARE: ADCARE HOSPITAL OF WORCESTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital2202MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134281280
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADCARE HOSPITAL OF WORCESTER, INC.
Provider Business Mailing Address
First Line : 200 POWELL PL
Second Line : ATTN: LEGAL DEPARTMENT
City : BRENTWOOD
State : TN
Zip : 37027-7514
Country : US
Telephone Number : 615-732-1605
Fax Number :
Provider Business Practice Location Address
First Line : 107 LINCOLN ST
Second Line :
City : WORCESTER
State : MA
Zip : 01605-2401
Country : US
Telephone Number : 508-799-9000
Fax Number : 508-795-0224
Authorized Official
Title or Position : FACILITY CEO
Name : ROMAS D BUIVYDAS
Credential : PHD, LMHC
Telephone Number : 508-453-3020
Provider Enumeration Date : 12/15/2006
Last Update Date : 12/09/2021

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