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MWA PC NPI 1053559740


NPI Information

NPI: 1053559740
Provider Name: MWA, PC

Doing Business As: RIVERBEND MEDICAL GROUP

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 22D0945809

Address:
70 POST OFFICE PARK
WILBRAHAM, MA
ZIP 01095
Phone: (413) 598-7770
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MWA, PC is a durable medical equipment medical supplies in Wilbraham, MA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MWA, PC NPI is 1053559740. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverbend Medical Group.

The provider's business location address is:

70 POST OFFICE PARK
WILBRAHAM, MA
ZIP 01095
Phone: (413) 598-7770
Fax: (413) 599-1399

The provider's authorized official is Robert L. Lounsbury .
The authorized official title is President and has the following contact phone number (413) 789-8019.

The CLIA number assigned to this NPI record is 22D0945809 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/3/2009 and was last updated on 7/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15315780004MEDICARE NSCMASSACHUSETTS
2M20454MEDICARE PINMASSACHUSETTS
39782613MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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