Provider Demographics
NPI:1538315312
Name:O'CONNELL PROFESSIONAL NURSE SERVICE INC.
Entity Type:Organization
Organization Name:O'CONNELL PROFESSIONAL NURSE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, FNP
Authorized Official - Phone:413-533-1030
Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:BUILDING 103-1
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01105-1199
Mailing Address - Country:US
Mailing Address - Phone:413-533-1030
Mailing Address - Fax:413-536-7699
Practice Address - Street 1:1 FEDERAL ST
Practice Address - Street 2:BUILDING 103-1
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-1199
Practice Address - Country:US
Practice Address - Phone:413-533-1030
Practice Address - Fax:413-536-7699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-13
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7365OtherDIVISION OF OCCUPATIONAL SAFETY
MATWMCOtherDEPARTMENT OF PUBLIC HEALTH