Organization
RIVERBEND MEDICAL GROUP, INC
Active
Other names
Trinity Health Of New England Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M HARRIS (REGIONAL DIRECTOR OF REIMBURSEMENT)
(860) 714-4396
Entity
Organization
Contact information
Practice address
230 MAIN ST, AGAWAM, MA 01001
(413) 789-6800
(413) 789-5171
Mailing address
230 MAIN ST, AGAWAM, MA 01001-1838
(413) 789-6800
(413) 789-5171
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110113650/A
—
MA
Enumeration date
09/12/2006
Last updated
01/18/2021
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