Healthcare Provider Details

I. General information

NPI: 1467442012
Provider Name (Legal Business Name): RING HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 BICENTENNIAL HWY
SPRINGFIELD MA
01118-1962
US

IV. Provider business mailing address

215 BICENTENNIAL HWY
SPRINGFIELD MA
01118-1962
US

V. Phone/Fax

Practice location:
  • Phone: 413-796-7511
  • Fax: 413-782-0798
Mailing address:
  • Phone: 413-796-7511
  • Fax: 413-782-0798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0899
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0928054
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer

VIII. Authorized Official

Name: DEBRA DECOTEAU
Title or Position: ACCOUNTS RECEIVABLE REGIONAL MGR
Credential:
Phone: 413-335-3318