NPI 1104199850

Mercy Life, Incorporated

Organisation PACE Provider Organization West Springfield, MA

Practice location

Address: 2112 Riverdale St, West Springfield, MA 01089-1024
Phone: (413) 539-2917
Mailing address: 1233 Main St, Holyoke, MA 01040-5381

Authorised official

Name: Christopher McLaughlin
Title: Chief Operating Officer
Phone: (413) 539-2917

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Registry record

NPI: 1104199850
Entity type: Organization
NPI issued: 10 Feb 2012
Record last updated: 10 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.