MEDICARE: UMASS MEMORIAL MEDICAL CENTER, INC

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	273R00000X	Psychiatric Hospital Unit		MA

General Provider Information

NPI Number	:	1720091515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UMASS MEMORIAL MEDICAL CENTER, INC

Provider Business Mailing Address
First Line	:	PO BOX 415353
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-5353
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 UNION ST
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-1228
Country	:	US
Telephone Number	:	508-481-5000
Fax Number	:	508-486-5429

Authorized Official
Title or Position	:	SVP FINANCE & CORPORATE CONTROLLER
Name	:	BRIAN HUGGINS
Credential	:
Telephone Number	:	508-334-0252

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	02/06/2026

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