Organization
MARATHON HEALTHCARE OF SPRINGFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW CZERNIEWSKI (CHIEF FINANCIAL OFFICER)
(860) 290-7514
Entity
Organization
Contact information
Practice address
370 PINE ST, SPRINGFIELD, MA 01105-1931
(413) 731-5871
(413) 731-5384
Mailing address
99 E RIVER DR, RIVERVIEW SQUARE 8TH FLOOR, EAST HARTFORD, CT 06108-3288
(860) 528-0007
(860) 528-5711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0066
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0931306
—
MA
Enumeration date
05/31/2006
Last updated
08/22/2020
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