Healthcare Provider Details

I. General information

NPI: 1649347691
Provider Name (Legal Business Name): SERVICENET INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 KING ST
NORTHAMPTON MA
01060-3234
US

IV. Provider business mailing address

129 KING ST
NORTHAMPTON MA
01060-3258
US

V. Phone/Fax

Practice location:
  • Phone: 413-566-5871
  • Fax:
Mailing address:
  • Phone: 413-585-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: JAMES SACCENTO
Title or Position: CEFO
Credential:
Phone: 413-585-1300