Provider Demographics
NPI:1659110245
Name:NEPHEALTH HUDSON PC
Entity type:Organization
Organization Name:NEPHEALTH HUDSON PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CENTER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSHEEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-802-4050
Mailing Address - Street 1:PO BOX 10417
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01041-2017
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 FLAGSTONE DR UNIT A
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-4905
Practice Address - Country:US
Practice Address - Phone:603-802-4050
Practice Address - Fax:603-802-4053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care