FAIRVIEW HOSPITAL NPI 1174689467

NPI Information

NPI: 1174689467
Provider Name: FAIRVIEW HOSPITAL
Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
29 LEWIS AVE
GREAT BARRINGTON, MA
ZIP 01230
Phone: (413) 528-0790
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FAIRVIEW HOSPITAL is a medicare defined swing bed unit in Great Barrington, MA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. FAIRVIEW HOSPITAL NPI is 1174689467. The provider is registered as an organization entity type.

The provider's business location address is:

29 LEWIS AVE
GREAT BARRINGTON, MA
ZIP 01230-713
Phone: (413) 528-0790
Fax: (413) 528-8615

The provider's authorized official is Darlene Rodowicz .
The authorized official title is Chief Financial Officer and has the following contact phone number (413) 447-2000.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 12/13/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	2052	MASSACHUSETTS	No
2	275N00000X	Medicare Defined Swing Bed Unit		2052	MASSACHUSETTS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	905627	OTHER		TUFTS HEALTH PLAN INPT
2	2222003810	OTHER	MASSACHUSETTS	BLUE CROSS OUTPT
3	900038	OTHER		HARVARD PILGRIM HEALTH
4	992756	OTHER		CONNECTICARE
5	220038	OTHER	MASSACHUSETTS	UNICARE MA EMPLOYEE GIC
6	1001728	MEDICAID	MASSACHUSETTS
7	10005803	OTHER		CDPHP
8	HO4359	OTHER		OXFORD
9	1200542	MEDICAID	MASSACHUSETTS
10	2222003801	OTHER	MASSACHUSETTS	BLUE CROSS INPT
11	0373	OTHER		MVP
12	2222003830	OTHER	MASSACHUSETTS	BLUE CROSS SDC
13	6300460	OTHER		AETNA
14	12257	OTHER		HEALTH NEW ENGLAND
15	20850	OTHER	MASSACHUSETTS	BMC HEALTH NET PLAN
16	221302	OTHER		HUMANA
17	900245	OTHER		TUFTS HEALTH PLAN OUTPT
18	22Z302	MEDICARE OSCAR/CERTIFICATION	MASSACHUSETTS

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

NPI Synchronization or Removal

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