Organization
DIALYSIS CENTER OF WESTERN MASSACHUSETTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
601 MEMORIAL DR, SUITE H, CHICOPEE, MA 01020-5068
(413) 593-3078
(413) 593-1978
Mailing address
601 MEMORIAL DR, SUITE H, CHICOPEE, MA 01020-5068
(413) 593-3078
(413) 593-1978
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1304861
—
MA
Enumeration date
12/04/2007
Last updated
01/14/2023
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