| Baystate Noble Hospital Corporation | |
| 
					115 W Silver St Westfield MA 01085-3628  | |
| (413) 568-2811 | |
| (413) 572-5016 | 
| Full Name | Baystate Noble Hospital Corporation | 
|---|---|
| Speciality | Psychiatric Unit | 
| Location | 115 W Silver St, Westfield, Massachusetts | 
| Authorized Official Name and Position | David Witherell (SENIOR DIRECTOR, PAYMENT SYSTEMS) | 
| Authorized Official Contact | 4137947930 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Baystate Noble Hospital Corporation 115 W Silver St Westfield MA 01085-3628 Ph: (413) 568-2811  | Baystate Noble Hospital Corporation 115 W Silver St Westfield MA 01085-3628 Ph: (413) 568-2811  | 
| NPI Number | 1356367437 | 
|---|---|
| Provider Enumeration Date | 07/14/2006 | 
| Last Update Date | 05/11/2022 | 
| Certification Date | 05/11/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356367437 | NPI | - | NPPES | 
| 110072789D | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2076 (Massachusetts) | Primary | 
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