Provider Demographics
NPI:1609848001
Name:HAYES PROSTHETICS
Entity Type:Organization
Organization Name:HAYES PROSTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/PROSTHETIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:413-733-2287
Mailing Address - Street 1:1309 RIVERDALE ST
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4916
Mailing Address - Country:US
Mailing Address - Phone:413-733-2287
Mailing Address - Fax:413-747-7199
Practice Address - Street 1:1309 RIVERDALE ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4916
Practice Address - Country:US
Practice Address - Phone:413-733-2287
Practice Address - Fax:413-747-7199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4012274Medicaid
MA1504959Medicaid
CT12DME0258CT01OtherANTHEM BC/BS
MAHA362054OtherBC/BS
MA0215820001Medicare ID - Type Unspecified