Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MASCOMA STREET INPATIENT SERVICES LLC
Active
Organization
MASCOMA STREET INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HARRIS MD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2900
(469) 401-2386
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
09/10/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up