Provider Demographics
NPI:1497710073
Name:ESSENT HEALTHCARE OF MASS INC
Entity Type:Organization
Organization Name:ESSENT HEALTHCARE OF MASS INC
Other - Org Name: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 AVENUE
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 AVENUE
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:2006-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA089273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
2222004101OtherBLUE CROSS
5080221OtherEVERCARE
MA1001302Medicaid
2222004101OtherBLUE CROSS