| Baystate Wing Hospital Corporation | |
|
40 Wright St Palmer MA 01069-1138 | |
| (413) 283-7651 | |
| (413) 284-5117 |
| Full Name | Baystate Wing Hospital Corporation |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 40 Wright St, Palmer, Massachusetts |
| Authorized Official Name and Position | Raymond Mccarthy (SR. VP, CFO & TREASURER BH) |
| Authorized Official Contact | 4137943290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baystate Wing Hospital Corporation 40 Wright St Palmer MA 01069-1138 Ph: (413) 370-5285 | Baystate Wing Hospital Corporation 40 Wright St Palmer MA 01069-1138 Ph: (413) 283-7651 |
| NPI Number | 1992880736 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 11/27/2023 |
| Certification Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992880736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2181 (Massachusetts) | Primary |
Bloom Mental Health And Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1207 S Main St Ste 1, Palmer, MA 01069 Phone: 413-200-2808 Fax: 223-924-9926 |