Organization
BAYSTATE MEDICAL CENTER, INC.
Active
Other names
Baystate Home Infusion & Respiratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS W. CHALKE (SR VP, CFO & TREAS, BAYSTATE HEALTH)
(413) 794-3290
Entity
Organization
Contact information
Practice address
85 SOUTH ST, ROOM D101, WARE, MA 01082-1625
(413) 967-2855
(413) 967-2858
Mailing address
211 CARANDO DR, SPRINGFIELD, MA 01104-3213
(413) 794-4663
(413) 794-5599
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110020829Y
—
MA
Enumeration date
12/17/2010
Last updated
01/19/2017
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