Provider Demographics
NPI:1912412412
Name:MERCY ADULT DAY HEALTH OF WESTFIELD
Entity Type:Organization
Organization Name:MERCY ADULT DAY HEALTH OF WESTFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-647-2980
Mailing Address - Street 1:481 DALGREEN PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-4525
Mailing Address - Country:US
Mailing Address - Phone:406-647-2980
Mailing Address - Fax:
Practice Address - Street 1:24 CLIFTON ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-3304
Practice Address - Country:US
Practice Address - Phone:413-568-0555
Practice Address - Fax:413-568-5978
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY HEALTH PACE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADD0P-005261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care