Organization
BAYSTATE MARY LANE HOSPITAL CORPORATION
Active
Other names
Baystate Mary Lane Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS W CHALKE (VP FINANCE, HEALTHCARE OPERATIONS)
(413) 794-3290
Entity
Organization
Contact information
Practice address
85 SOUTH ST, WARE, MA 01082-1625
(413) 967-6211
Mailing address
85 SOUTH ST, WARE, MA 01082-1625
(413) 967-6211
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
2148
MA
282N00000X
General Acute Care Hospital
Primary
2148
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003674
—
MA
05
—
1201131
—
MA
05
—
1948946
—
MA
Enumeration date
08/03/2005
Last updated
03/11/2014
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