FAIRVIEW HOSPITAL NPI 1730112251

NPI Information

NPI: 1730112251
Provider Name: FAIRVIEW HOSPITAL
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 22D0068181

Address:
29 LEWIS AVE
GREAT BARRINGTON, MA
ZIP 01230
Phone: (413) 528-0790
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FAIRVIEW HOSPITAL is a critical access general acute care hospital in Great Barrington, MA. FAIRVIEW HOSPITAL NPI is 1730112251. 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

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 CLIA number assigned to this NPI record is 22D0068181 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 1/23/2012.

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	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	2222003810	OTHER		BLUE CROSS OUTPATIENT
2	6300460	OTHER		AETNA
3	900038	OTHER		HARVARD PILGRIM HEALTH
4	20850	OTHER		BMC HEALTHNET PLAN
5	2222003830	OTHER		BLUE CROSS SDC
6	1001728	MEDICAID	MASSACHUSETTS
7	2222003801	OTHER		BLUE CROSS INPATIENT
8	12257	OTHER		HEALTH NEW ENGLAND
9	220038	OTHER		UNICARE MA
10	992756	OTHER		CONNECTICARE
11	905627	OTHER		TUFTS HEALTH PLAN INPT
12	900245	OTHER		TUFTS HEALTH PLAN OUTPT
13	1200542	MEDICAID	MASSACHUSETTS
14	221302	MEDICARE OSCAR/CERTIFICATION	MASSACHUSETTS
15	0373	OTHER		MVP HEALTH CARE
16	H04359	OTHER		OXFORD
17	10005803	OTHER		CDPHP
18	22Z302	MEDICARE ID-TYPE UNSPECIFIED		SWG

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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