Provider Demographics
NPI:1477552602
Name:ESSENT HEALTH CARE OF MASS INC
Entity Type:Organization
Organization Name:ESSENT HEALTH CARE OF MASS INC
Other - Org Name:DBA MERRIMACK VALLEY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOFFMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-521-8137
Mailing Address - Street 1:140 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6798
Mailing Address - Country:US
Mailing Address - Phone:978-521-8137
Mailing Address - Fax:978-521-8719
Practice Address - Street 1:140 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6798
Practice Address - Country:US
Practice Address - Phone:978-521-8137
Practice Address - Fax:978-521-8719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA089282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
61088OtherAETNA HEALTH INSURANCE
000000025154OtherBOSTON MEDICAL CENTER HLT
NH220174OtherBC BS OF NH (ANTHEM)
MA31530OtherCIGNA HEALTHSOURCE OF MA
WC70669020782OtherARGONAUT INSURANCE CO
MA1001302Medicaid
MA1208900Medicaid
2222004101OtherBC BS OF MASS
61088OtherCHICKERING CLAIMS ADMIN
903024OtherFIRST SENIORITY
61088OtherAETNA US HEALTH CARE
NH3153OtherCIGNA HEALTHSOURCE OF NH
5080221OtherEVERCARE
903024OtherHARVARD PILGRIM
2222004101OtherBC BS OF MASS
MA31530OtherCIGNA HEALTHSOURCE OF MA
MA1208900Medicaid
=========OtherBEACON HOSPICE