# BAYSTATE MARY LANE HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baystate Mary Lane Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144221847
- **Authorized official:** MR. DENNIS W CHALKE (VP FINANCE, HEALTHCARE OPERATIONS)
- **Authorized official phone:** (413) 794-3290

## Contact information

- **Practice address:** 85 SOUTH ST, WARE, MA 01082-1625
- **Practice address phone:** (413) 967-6211
- **Mailing address:** 85 SOUTH ST, WARE, MA 01082-1625
- **Mailing address phone:** (413) 967-6211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0600X | Adult Day Care Clinic/Center | 2148 | MA | — |
| 282N00000X | General Acute Care Hospital | 2148 | MA | Yes |

## Other

- **Enumeration date:** 08/03/2005
- **Last updated:** 03/11/2014