Organization
NORTHFIELD MT HERMON SCHOOL-O'CONNOR HEALTH CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE GRAVES (ADMINISTRATIVE ASSISTANT)
(413) 498-3407
Entity
Organization
Contact information
Practice address
206 MAIN ST, NORTHFIELD, MA 01360-1050
(413) 498-3407
(413) 498-3147
Mailing address
206 MAIN ST, NORTHFIELD, MA 01360-1050
(413) 498-3407
(413) 498-3147
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2338
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2226000010
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/08/2007
Last updated
08/22/2020
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