Healthcare Provider Details

I. General information

NPI: 1518948595
Provider Name (Legal Business Name): HOLYOKE HEALTH CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 FRONT STREET
CHICOPEE MA
01013-1246
US

IV. Provider business mailing address

PO BOX 6260
HOLYOKE MA
01041-6260
US

V. Phone/Fax

Practice location:
  • Phone: 413-420-2222
  • Fax: 413-592-2324
Mailing address:
  • Phone: 413-420-2222
  • Fax: 413-592-2324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number4118
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: REGINA BOK
Title or Position: CFO
Credential:
Phone: 413-420-2123