Organization
MERCY INPATIENT MEDICAL ASSOCIATES INC.
Active
Organization
MERCY INPATIENT MEDICAL ASSOCIATES INC.
Active
Other names
Trinity Health Of New England Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M HARRIS (REGIONAL DIRECTOR OF REIMBURSEMENT)
(860) 714-4396
Entity
Organization
Contact information
Practice address
271 CAREW ST, SPRINGFIELD, MA 01104
(413) 748-9321
(413) 452-6080
Mailing address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9377
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003119155
—
CT
05
—
9770127
—
MA
01
—
M15779
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/14/2005
Last updated
04/12/2019
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