Healthcare Provider Details

I. General information

NPI: 1417980970
Provider Name (Legal Business Name): COMMUNITY HEALTH ASSOCIATION OF RICHMOND AND WEST STOCKBRIDGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 10/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 STATE LINE RD.
WEST STOCKBRIDGE MA
01266
US

IV. Provider business mailing address

PO BOX 368 21 STATE LINE RD.
WEST STOCKBRIDGE MA
01266
US

V. Phone/Fax

Practice location:
  • Phone: 413-232-0122
  • Fax: 413-232-0199
Mailing address:
  • Phone: 413-232-0122
  • Fax: 413-232-0199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EMILIE JARRETT
Title or Position: DIRECTOR
Credential: RN, BSN
Phone: 413-232-0122