Provider Demographics
NPI:1881647923
Name:HALLMARK HEALTH SERVICES,INC
Entity Type:Organization
Organization Name:HALLMARK HEALTH SERVICES,INC
Other - Org Name:HALLMARK HEALTH DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR V.P
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:GERALDINE
Authorized Official - Last Name:FARRAHER-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:781-979-3080
Mailing Address - Street 1:3 WOODLAND RD
Mailing Address - Street 2:SUITE 414
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-1702
Mailing Address - Country:US
Mailing Address - Phone:781-662-1654
Mailing Address - Fax:781-662-1587
Practice Address - Street 1:3 WOODLAND RD
Practice Address - Street 2:SUITE 414
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-1702
Practice Address - Country:US
Practice Address - Phone:781-662-1654
Practice Address - Fax:781-662-1587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22260253246W00000X
MA246XS1301X, 2471B0102X, 2471S1302X
MA08954247100000X
MA07880247100000X
MA2231482471M2300X
MA1200142471M2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, CardiologyGroup - Multi-Specialty
Not Answered246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty
Not Answered247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Multi-Specialty
Not Answered2471B0102XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistBone DensitometryGroup - Multi-Specialty
Not Answered2471M2300XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMammographyGroup - Multi-Specialty
Not Answered2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA327059Medicare ID - Type Unspecified