| Cooley Dickinson Hospital Inc | |
|
30 Locust St Northampton MA 01060-2052 | |
| (413) 582-2000 | |
| (413) 582-2680 |
| Full Name | Cooley Dickinson Hospital Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 30 Locust St, Northampton, Massachusetts |
| Authorized Official Name and Position | Joanne Marquesee (PRESIDENT) |
| Authorized Official Contact | 4135822212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooley Dickinson Hospital Inc 30 Locust St P.o. Box 5001 Northampton MA 01060-2052 Ph: (413) 582-2000 | Cooley Dickinson Hospital Inc 30 Locust St Northampton MA 01060-2052 Ph: (413) 582-2000 |
| NPI Number | 1871512814 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 01/09/2018 |
| Medicare PECOS PAC ID | 8123090560 |
|---|---|
| Medicare Enrollment ID | O20180604001297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871512814 | NPI | - | NPPES |
| 900170 | Other | MA | HARVARD PILGRIM HEALTH PL |
| 25114600 | Other | MA | MERIT BEHAVIORAL HEALTH |
| 900390 | Other | MA | TUFTS OUTPATIENT BEHAV HE |
| 1004880 | Other | MA | BEACON HEALTH |
| 001267 | Other | MA | VALUE OPTIONS |
| 000000020630 | Other | MA | BMC HEALTHNET |
| 1010476 | Medicaid | MA | |
| 1308823 | Medicaid | MA | |
| 1310224 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2155 (Massachusetts) | Primary |
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