Healthcare Provider Details
I. General information
NPI: 1033985163
Provider Name (Legal Business Name): UMASS HEALTH SERVICES AMHERST
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/29/2023
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 INFIRMARY WAY
AMHERST MA
01003-9288
US
IV. Provider business mailing address
150 INFIRMARY WAY STE 366
AMHERST MA
01003-9288
US
V. Phone/Fax
- Phone: 413-577-5000
- Fax:
- Phone: 413-577-5000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0005X |
| Taxonomy | Ambulatory Family Planning Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDREW
MCMAHON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 413-577-5000