Provider Demographics
NPI:1598716599
Name:WSCL HEALTH CARE PARTNERS
Entity Type:Organization
Organization Name:WSCL HEALTH CARE PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CARCIO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:413-665-1555
Mailing Address - Street 1:235 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SO DEERFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01373-9790
Mailing Address - Country:US
Mailing Address - Phone:413-665-1555
Mailing Address - Fax:413-339-5803
Practice Address - Street 1:235 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:SO DEERFIELD
Practice Address - State:MA
Practice Address - Zip Code:01373-9790
Practice Address - Country:US
Practice Address - Phone:413-665-1555
Practice Address - Fax:413-339-5803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA=========OtherEIN NUMBER