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WING MEMORIAL HOSPITAL CORPORATION NPI 1598923625


NPI Information

NPI: 1598923625
Provider Name: WING MEMORIAL HOSPITAL CORPORATION

Doing Business As: WING MEMORIAL HOSPITAL & MEDICAL CENTERS

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
40 WRIGHT ST
PALMER, MA
ZIP 01069
Phone: (413) 283-7651
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WING MEMORIAL HOSPITAL CORPORATION is a dietitian registered in Palmer, MA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. WING MEMORIAL HOSPITAL CORPORATION NPI is 1598923625. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wing Memorial Hospital & Medical Centers.

The provider's business location address is:

40 WRIGHT ST
PALMER, MA
ZIP 01069-138
Phone: (413) 283-7651
Fax: (413) 284-5117

The provider's authorized official is Keary T. Allicon .
The authorized official title is Vp/finance & Cfo and has the following contact phone number (413) 284-5302.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 5/27/2008.


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
1133V00000XDietitian, Registered230MASSACHUSETTSYes

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
1220030MEDICARE PIN
2LG0028OTHERMASSACHUSETTSBLUECROSS/BLUESHIELD OF MASSACHUSETTS
31001191; 1202057MEDICAIDMASSACHUSETTS

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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