Provider Demographics
NPI:1346852571
Name:HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SPURGEON
Authorized Official - Middle Name:
Authorized Official - Last Name:WAMALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-391-8996
Mailing Address - Street 1:235 CHESTNUT ST FL 1
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1103
Mailing Address - Country:US
Mailing Address - Phone:413-391-6762
Mailing Address - Fax:
Practice Address - Street 1:235 CHESTNUT ST FL 1
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1103
Practice Address - Country:US
Practice Address - Phone:413-391-6762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)