Provider Demographics
NPI:1245365022
Name:CONGREGATION OF THE SISTERS OF ST. JOSEPH OF SPRINGFIELD
Entity type:Organization
Organization Name:CONGREGATION OF THE SISTERS OF ST. JOSEPH OF SPRINGFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CONGREGATION
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-536-0853
Mailing Address - Street 1:34 LOWER WESTFIELD RD
Mailing Address - Street 2:STE 1
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2749
Mailing Address - Country:US
Mailing Address - Phone:413-536-0853
Mailing Address - Fax:413-533-3275
Practice Address - Street 1:34 LOWER WESTFIELD RD
Practice Address - Street 2:STE 1
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2749
Practice Address - Country:US
Practice Address - Phone:413-536-0853
Practice Address - Fax:413-533-3275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1903853OtherGAFC PROVIDER NUMBER