Healthcare Provider Details

I. General information

NPI: 1669036737
Provider Name (Legal Business Name): ADFINITAS HEALTH AT THE MERCY HOSPITAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 CAREW ST
SPRINGFIELD MA
01104-2377
US

IV. Provider business mailing address

PO BOX 69231
BALTIMORE MD
21264-9231
US

V. Phone/Fax

Practice location:
  • Phone: 413-748-9000
  • Fax:
Mailing address:
  • Phone: 443-949-0814
  • Fax: 443-292-6814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN ANN MILLARD
Title or Position: DIRECTOR RCM
Credential:
Phone: 607-738-2182