Provider Demographics
NPI:1932385283
Name:HOLYOKE MEDICAL CENTER, INC
Entity Type:Organization
Organization Name:HOLYOKE MEDICAL CENTER, INC
Other - Org Name:HMC RHEUMATOLOGISTS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA PT
Authorized Official - Phone:413-540-5021
Mailing Address - Street 1:575 BEECH ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2223
Mailing Address - Country:US
Mailing Address - Phone:413-534-2682
Mailing Address - Fax:
Practice Address - Street 1:575 BEECH ST
Practice Address - Street 2:SUITE 502
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2223
Practice Address - Country:US
Practice Address - Phone:413-534-2682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOLYOKE MEDICAL CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA233936207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty