Organization
WING MEMORIAL HOSPITAL CORPORATION
Active
Other names
Wing Memorial Hospital & Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
KEARY T. ALLICON (VP/FINANCE & CFO)
(413) 284-5302
Entity
Organization
Contact information
Practice address
40 WRIGHT ST, PALMER, MA 01069-1138
(413) 283-7651
(413) 284-5117
Mailing address
40 WRIGHT ST, PALMER, MA 01069-1138
(413) 283-7651
(413) 284-5117
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
230
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001191; 1202057
—
MA
01
—
LG0028
BLUECROSS/BLUESHIELD OF MASSACHUSETTS
MA
Enumeration date
05/27/2008
Last updated
05/27/2008
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