EAST ELM PEDIATRICS NPI 1497132708

NPI Information

NPI: 1497132708
Provider Name: EAST ELM PEDIATRICS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
426 EAST ST
PITTSFIELD, MA
ZIP 01201
Phone: (413) 442-8267
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EAST ELM PEDIATRICS is a primary care clinic center in Pittsfield, MA. EAST ELM PEDIATRICS NPI is 1497132708. The provider is registered as an organization entity type.

The provider's business location address is:

426 EAST ST
PITTSFIELD, MA
ZIP 01201-308
Phone: (413) 442-8267
Fax: (413) 442-8625

The provider's authorized official is Jessica Chapman .
The authorized official title is Registered Nurse and has the following contact phone number (413) 442-8267.

The enumeration date for this NPI number is 5/6/2015 and was last updated on 5/6/2015.

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	261QP2300X	Clinic/Center	Primary Care			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	110059089A	MEDICAID	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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