# BAYSTATE WING HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAYSTATE WING HOSPITAL CORPORATION
- **Other names:** Baystate Wing Hospital: Visiting Nurse Association & Hospice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518009273
- **Legal business name:** BAYSTATE WING HOSPITAL CORPORATION
- **Authorized official:** KEARY T ALLICON (TREASURER & CFO)
- **Authorized official phone:** (413) 284-5302

## Contact information

- **Practice address:** 4 SPRINGFIELD ST., BLDG. 3, 4TH FL., THREE RIVERS, MA 01080-1242
- **Practice address phone:** (413) 283-9715
- **Practice address fax:** (413) 283-8084
- **Mailing address:** 40 WRIGHT ST, PALMER, MA 01069-1138
- **Mailing address phone:** (413) 283-9715
- **Mailing address fax:** (413) 283-8084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 2181 | MA | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 10/31/2014