Provider Demographics
NPI:1003413725
Name:MASSACHUSETTS INTERLOCAL INSURANCE ASSOCIATION
Entity type:Organization
Organization Name:MASSACHUSETTS INTERLOCAL INSURANCE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIIA HEALTH BENEFITS TRUST MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-246-7272
Mailing Address - Street 1:23 BREAKWATER CT
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-6701
Mailing Address - Country:US
Mailing Address - Phone:781-500-9518
Mailing Address - Fax:
Practice Address - Street 1:1 WINTHROP SQ
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-1209
Practice Address - Country:US
Practice Address - Phone:617-246-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization