NPI 1316369622

Consolidated Health Plan

Organisation Preferred Provider Organization Springfield, MA

Practice location

Address: 2077 Roosevelt Ave, Springfield, MA 01104-1657
Phone: (413) 733-4540
Fax: (413) 781-1958

Authorised official

Name: Laura a Shively
Title: Provider Relations Supervisor
Phone: (413) 733-4540

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Massachusetts →

Registry record

NPI: 1316369622
Entity type: Organization
NPI issued: 7 Jan 2014
Record last updated: 7 Jan 2014

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.