Provider Demographics
NPI:1649347691
Name:SERVICENET INC
Entity type:Organization
Organization Name:SERVICENET INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SACCENTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-585-1300
Mailing Address - Street 1:129 KING ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3258
Mailing Address - Country:US
Mailing Address - Phone:413-585-1400
Mailing Address - Fax:
Practice Address - Street 1:131 KING ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3234
Practice Address - Country:US
Practice Address - Phone:413-566-5871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000008460OtherBMC HEALTHNET PLAN
MAEI0036OtherBLUE CROSS BLUE SHIELD
MA602640OtherTUFTS
MA981080OtherNETWORK HEALTH
MA0012585OtherNEIGHBORHOOD HEALTH PLAN
MA621746OtherHARVARD PILGRAM
MA1803263Medicaid