Provider Demographics
NPI:1891125480
Name:WESTERN MASSACHUSETTS PRIMARY CARE PC
Entity Type:Organization
Organization Name:WESTERN MASSACHUSETTS PRIMARY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:STIRLACCI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-786-5222
Mailing Address - Street 1:405 ARMORY ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2305
Mailing Address - Country:US
Mailing Address - Phone:413-786-5222
Mailing Address - Fax:
Practice Address - Street 1:405 ARMORY ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2305
Practice Address - Country:US
Practice Address - Phone:413-786-5222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care