Provider Demographics
NPI:1629069539
Name:SURGIMED CORPORATION
Entity Type:Organization
Organization Name:SURGIMED CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-663-8655
Mailing Address - Street 1:109 EAGLE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-2696
Mailing Address - Country:US
Mailing Address - Phone:413-664-6043
Mailing Address - Fax:413-664-0097
Practice Address - Street 1:109 EAGLE ST STE A
Practice Address - Street 2:
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-2696
Practice Address - Country:US
Practice Address - Phone:413-664-6043
Practice Address - Fax:413-664-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1003206Medicaid
NY01115080Medicaid
MA22316OtherBMC HEALTHNET
MA356054OtherBCBS OF MA
MA688680OtherTUFTS
MA16933OtherHEALTH NEW ENGLAND
MA1523007Medicaid
MA1523007Medicaid