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Organization
UMASS MEMORIAL MEDICAL CENTER, INC
Active
Organization
UMASS MEMORIAL MEDICAL CENTER, INC
Active
Parent organization
UMASS MEMORIAL MEDICAL CENTER, INC
Other names
UMass Memorial Medical Center - Mobile Integrated Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
UMASS MEMORIAL MEDICAL CENTER, INC
Authorized official
MARILYN AMAYA (PROVIDER ENROLLMENT SPECIALIST)
(508) 334-6503
Entity
Organization
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
281 LINCOLN STREET, PROVIDER ENROLLMENT, WORCESTER, MA 01605
(508) 334-8015
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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