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 (REGONAL DIRECTOR OF REIMBURSEMENT)
(860) 714-4396
Entity
Organization
Contact information
Practice address
1515 ALLEN ST, SPRINGFIELD, MA 01118-1803
(413) 783-9114
(413) 782-0960
Mailing address
1515 ALLEN ST, SPRINGFIELD, MA 01118-1803
(413) 783-9114
(413) 782-0960
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110113650S
—
MA
Enumeration date
02/02/2021
Last updated
02/02/2021
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