Whalio Doctors

NPI 1104830934

Vamc Northampton

Organisation Special Hospital Leeds, MA

Practice location

Address
421 N Main St, Leeds, MA 01053-9764
Phone
(413) 584-4040
Mailing address
30 Saint Jacques Ave, Chicopee, MA 01020-4254

Authorised official

Name
Robert L Carroll
Title
Social Worker
Phone
(413) 584-4040

Registered specialties

Special Hospital Primary
Hospitals Taxonomy 284300000X Licence 210917 (MA)

Registry record

NPI
1104830934
Entity type
Organization
NPI issued
28 Jul 2006
Record last updated
22 Aug 2020

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.