Healthcare Provider Details

I. General information

NPI: 1871512814
Provider Name (Legal Business Name): COOLEY DICKINSON HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 LOCUST ST
NORTHAMPTON MA
01060-2052
US

IV. Provider business mailing address

30 LOCUST ST P.O. BOX 5001
NORTHAMPTON MA
01060-2052
US

V. Phone/Fax

Practice location:
  • Phone: 413-582-2000
  • Fax: 413-582-2981
Mailing address:
  • Phone: 413-582-2000
  • Fax: 413-582-2680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number2155
License Number StateMA

VIII. Authorized Official

Name: LAURIE LAMOUREUX
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 413-582-2000