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TRAILSIDE HEALTH LLC NPI 1497175459


NPI Information

NPI: 1497175459
Provider Name: TRAILSIDE HEALTH LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 22D1051926

Address:
111 BRIDGE ST
SHELBURNE FALLS, MA
ZIP 01370
Phone: (413) 625-6240
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TRAILSIDE HEALTH LLC is a family medicine in Shelburne Falls, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRAILSIDE HEALTH LLC NPI is 1497175459. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

111 BRIDGE ST
SHELBURNE FALLS, MA
ZIP 01370-142
Phone: (413) 625-6240
Fax: (413) 625-6290

The provider's authorized official is Stefan A. Topolski .
The authorized official title is Ceo and has the following contact phone number (413) 625-6240.

The CLIA number assigned to this NPI record is 22D1051926 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2014 and was last updated on 4/17/2014.


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
11041C0700XSocial WorkerClinical1030561MASSACHUSETTSNo
2363L00000XNurse Practitioner213928MASSACHUSETTSNo
3207Q00000XFamily Medicine209410MASSACHUSETTSYes

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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