Healthcare Provider Details

I. General information

NPI: 1932669272
Provider Name (Legal Business Name): COOLEY DICKINSON HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 06/07/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 COLLEGE HWY
SOUTHAMPTON MA
01073-9406
US

IV. Provider business mailing address

30 LOCUST ST
NORTHAMPTON MA
01060-2052
US

V. Phone/Fax

Practice location:
  • Phone: 413-527-1105
  • Fax: 413-527-0327
Mailing address:
  • Phone: 413-582-4624
  • Fax: 413-582-2817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

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