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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