Organization
FAIRVIEW HOSPITAL
Active
Parent organization
FAIRVIEW HOSPITAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRVIEW HOSPITAL, INC.
Authorized official
MRS. DARLENE RODOWICZ (CHIEF FINANCIAL OFFICER)
(413) 447-2000
Entity
Organization
Contact information
Practice address
29 LEWIS AVE, GREAT BARRINGTON, MA 01230-1713
(413) 528-0790
(413) 528-8615
Mailing address
PO BOX 1172, PITTSFIELD, MA 01202-1172
(413) 528-0790
(413) 528-8615
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
2052
MA
282NC0060X
Critical Access Hospital
2052
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0373
MVP
—
01
—
10005803
CDPHP
—
05
—
1001728
—
MA
05
—
1200542
—
MA
01
—
12257
HEALTH NEW ENGLAND
—
01
—
20850
BMC HEALTH NET PLAN
MA
01
—
220038
UNICARE MA EMPLOYEE GIC
MA
01
—
221302
HUMANA
—
01
—
2222003801
BLUE CROSS INPT
MA
01
—
2222003810
BLUE CROSS OUTPT
MA
01
—
2222003830
BLUE CROSS SDC
MA
01
—
6300460
AETNA
—
01
—
900038
HARVARD PILGRIM HEALTH
—
01
—
900245
TUFTS HEALTH PLAN OUTPT
—
01
—
905627
TUFTS HEALTH PLAN INPT
—
01
—
992756
CONNECTICARE
—
01
—
HO4359
OXFORD
—
Enumeration date
12/29/2006
Last updated
12/13/2012
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