# UMASS MEMORIAL MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UMASS MEMORIAL MEDICAL CENTER, INC
- **Other names:** UMass Memorial Medical Center - Mobile Integrated Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942982921
- **Legal business name:** UMASS MEMORIAL MEDICAL CENTER, INC
- **Authorized official:** MARILYN AMAYA (PROVIDER ENROLLMENT SPECIALIST)
- **Authorized official phone:** (508) 334-6503

## Contact information

- **Practice address:** 55 LAKE AVE N, WORCESTER, MA 01655-0002
- **Practice address phone:** (508) 334-1000
- **Mailing address:** 281 LINCOLN STREET, PROVIDER ENROLLMENT, WORCESTER, MA 01605
- **Mailing address phone:** (508) 334-8015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2023
- **Last updated:** 08/01/2023