Healthcare Provider Details

I. General information

NPI: 1780864009
Provider Name (Legal Business Name): UMASS HEALTH SERVICES AMHERST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 05/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 INFIRMARY WAY
AMHERST MA
01003
US

IV. Provider business mailing address

150 INFIRMARY WAY
AMHERST MA
01003-9288
US

V. Phone/Fax

Practice location:
  • Phone: 413-577-5000
  • Fax: 413-577-5023
Mailing address:
  • Phone: 413-577-5000
  • Fax: 413-577-5023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GEORGE COREY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 413-577-5000