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Organization

RIVERBEND MEDICAL GROUP, INC

Active
Other names
MWA,PC, 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
444 MONTGOMERY STREET, CHICOPEE, MA 01020-1997
(413) 523-0824
(413) 523-0930
Mailing address
444 MONTGOMERY STREET, CHICOPEE, MA 01020-1997
(413) 523-0824
(413) 523-0930

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9782613
MA
Enumeration date
08/31/2006
Last updated
01/18/2021
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