# AMBULATORY CARE PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COOLEY DICKINSON HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750833661
- **Legal business name:** COOLEY DICKINSON HOSPITAL
- **Authorized official:** DR. KHAMA ENNIS M.D. (EMERGENCY MEDICINE PHYSICIAN)
- **Authorized official phone:** (413) 582-5299

## Contact information

- **Practice address:** 30 LOCUST ST, NORTHAMPTON, MA 01060-2052
- **Practice address phone:** (413) 582-2363
- **Mailing address:** 304 CITY VIEW AVE, WEST SPRINGFIELD, MA 01089-2511
- **Mailing address phone:** (413) 896-4620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | PA5932 | MA | Yes |

## Other

- **Enumeration date:** 10/26/2016
- **Last updated:** 10/26/2016