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NPI Code Detail

MEDICARE: SISTERS OF PROVIDENCE CARE CENTERS INC.

MEDICARE: SISTERS OF PROVIDENCE CARE CENTERS 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
1314000000XSkilled Nursing Facility0021MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10021OTHERMASTATE NURSING HOME LICENS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811988645
Entity Type Code : Organization
Provider Name (Legal Business Name) : SISTERS OF PROVIDENCE CARE CENTERS INC.
Provider Business Mailing Address
First Line : 320 PITTSFIELD RD
Second Line :
City : LENOX
State : MA
Zip : 01240-2377
Country : US
Telephone Number : 413-637-2660
Fax Number : 413-637-3085
Provider Business Practice Location Address
First Line : 320 PITTSFIELD RD
Second Line :
City : LENOX
State : MA
Zip : 01240-2377
Country : US
Telephone Number : 413-637-2660
Fax Number : 413-637-3085
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MR. CHRISTOPHER JOHN MCLAUGHLIN
Credential :
Telephone Number : 413-539-2917
Provider Enumeration Date : 11/01/2005
Last Update Date : 02/07/2012

Similar Medicare Providers

1649273970 — DR. JEFFREY ARTHUR MIGDOW M.D.
Practice Location Address:
56 HOUSATONIC ST
LENOX, MA
01240-2637
Practice Phone: 413-637-1513
Practice Fax: 413-448-3384
1326021908 — TOWN OF LENOX
Practice Location Address:
6 WALKER ST
LENOX, MA
01240-2741
Practice Phone: 413-637-5544
Practice Fax:
1649256900 — RICHARD M BERLIN MD
Practice Location Address:
69 CHURCH ST
LENOX, MA
01240-2771
Practice Phone: 413-637-1325
Practice Fax: 413-637-4265
1578549739 — DR. SUSANNE LUCILLE KING MD
Practice Location Address:
51 CHURCH ST
LENOX, MA
01240-2649
Practice Phone: 413-637-1531
Practice Fax: 413-637-4265
1225090079 — DR. TODD LEPINE
Practice Location Address:
165 KEMBLE ST
LENOX, MA
01240-2817
Practice Phone: 413-637-4100
Practice Fax:
1275597825 — JANE ANN SALATA LICSW
Practice Location Address:
16 POST RD
LENOX, MA
01240-2342
Practice Phone: 413-637-0034
Practice Fax: 413-637-8074

Directions to “SISTERS OF PROVIDENCE CARE CENTERS INC. ” Practice Location

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