MEDICARE: HAYES PROSTHETICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	12DME0258CT01	OTHER	CT	ANTHEM BC/BS
4	HA362054	OTHER	MA	BC/BS

General Provider Information

NPI Number	:	1609848001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAYES PROSTHETICS

Provider Business Mailing Address
First Line	:	1309 RIVERDALE ST
Second Line	:
City	:	WEST SPRINGFIELD
State	:	MA
Zip	:	01089-4916
Country	:	US
Telephone Number	:	413-733-2287
Fax Number	:	413-747-7199

Provider Business Practice Location Address
First Line	:	1309 RIVERDALE ST
Second Line	:
City	:	WEST SPRINGFIELD
State	:	MA
Zip	:	01089-4916
Country	:	US
Telephone Number	:	413-733-2287
Fax Number	:	413-747-7199

Authorized Official
Title or Position	:	PRES/PROSTHETIST
Name	:	MR. ROBERT FRANCIS HAYES
Credential	:	C.P.
Telephone Number	:	413-733-2287

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	08/22/2020

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Directions to “HAYES PROSTHETICS ” Practice Location

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