Providence Behavioral Health Hospital

LBN: The Mercy Hospital Inc
Providence Behavioral Health Hospital is an health care organization with primary practice located at 1233 Main St , Holyoke MA 01040. The organization recently has 3 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospitals / General Acute Care Hospital, Hospitals / Psychiatric Hospital. Hospitals / Psychiatric Hospital is the primary health care specialty. The Mercy Hospital Inc can be contacted via phone (413) 536-5111, or through Harris, James M via phone (860) 714-4396.

Contact Information

Primary practice address
1233 Main St Holyoke MA 01040
Phone: (413) 536-5111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harris, James M
Phone: (860) 714-4396

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 628 Massachusetts
Hospitals / General Acute Care Hospital 282N00000X 35 Massachusetts
Hospitals / Psychiatric Hospital 283Q00000X 628 Massachusetts

Profile Details

NPI number 1629062906
LBN Legal business name The Mercy Hospital Inc
DBA Doing business as Providence Behavioral Health Hospital
Authorized official Harris, James M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2005
Last updated Dec 18th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629062906 NPPES
Massachusetts MEDICAID 110027346F
Massachusetts MEDICAID 110027346C
Massachusetts MEDICAID 110027346D
Massachusetts MEDICAID 9105905
Massachusetts Other 2222002305
Massachusetts Other 2222002330
Massachusetts MEDICAID 3032125
Massachusetts Other 2222002325

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