Provider Demographics
NPI:1609960194
Name:AMHERST FAMILY PRACTICE, P.C.
Entity Type:Organization
Organization Name:AMHERST FAMILY PRACTICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-548-8885
Mailing Address - Street 1:29C COTTAGE STREET
Mailing Address - Street 2:
Mailing Address - City:AMHERT
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2153
Mailing Address - Country:US
Mailing Address - Phone:413-548-8885
Mailing Address - Fax:413-548-8886
Practice Address - Street 1:29C COTTAGE STREET
Practice Address - Street 2:
Practice Address - City:AMHERT
Practice Address - State:MA
Practice Address - Zip Code:01002-2153
Practice Address - Country:US
Practice Address - Phone:413-548-8885
Practice Address - Fax:413-548-8886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213299261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAFP0225940BOtherBMC HEALTHNET
MAM17974OtherBCBSMA
MA10190OtherAETNA
MA9713450Medicaid
MA=========OtherPIONEER
MAAFP0225940BOtherBMC HEALTHNET
MA10190OtherAETNA
MA9713450Medicaid
MA9713450Medicaid