Organization
BAYSTATE MEDICAL CENTER INC
Active
Other names
Baystate Home Infusion & Respiratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS W CHALKE (SR VP, CFO & TREAS, BAYSTATE HEALTH)
(413) 794-3290
Entity
Organization
Contact information
Practice address
211 CARANDO DR, SPRINGFIELD, MA 01104-3213
(413) 794-4663
(413) 794-5599
Mailing address
211 CARANDO DR, SPRINGFIELD, MA 01104-3213
(413) 794-4663
(413) 794-5599
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3300
MA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
3300
MA
3336H0001X
Home Infusion Therapy Pharmacy
3300
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110020829A
—
MA
Enumeration date
08/03/2005
Last updated
01/13/2017
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