BAYSTATE NORTHERN EDGE ADULT MEDICINE is a point of service in Springfield, MA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. BAYSTATE NORTHERN EDGE ADULT MEDICINE NPI is 1295289056. The provider is registered as an organization entity type.
The provider's business location address is:
3400 MAIN ST
SPRINGFIELD, MA
ZIP 01199-003
Phone: (413) 799-8777
Fax: (413) 799-8266
The provider's authorized official is Eugene Boss .
The authorized official title is Md and has the following contact phone number (413) 794-8777.
The CLIA number assigned to this NPI record is 22D2115712 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/10/2016 and was last updated on 8/10/2016.