| Providence Behavioral Health Hospital | |
|
1233 Main St Holyoke MA 01040 | |
| (413) 536-5111 | |
| Not Available |
| Full Name | Providence Behavioral Health Hospital |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 1233 Main St, Holyoke, Massachusetts |
| Authorized Official Name and Position | James M Harris (REGIONAL DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Contact | 8607144396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Behavioral Health Hospital 1233 Main St Holyoke MA 01040-5381 Ph: (413) 536-5111 | Providence Behavioral Health Hospital 1233 Main St Holyoke MA 01040 Ph: (413) 536-5111 |
| NPI Number | 1629062906 |
|---|---|
| Provider Enumeration Date | 09/01/2005 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629062906 | NPI | - | NPPES |
| 110027346F | Medicaid | MA | |
| 110027346C | Medicaid | MA | |
| 110027346D | Medicaid | MA | |
| 9105905 | Medicaid | FL | |
| 2222002305 | Other | MA | BLUE CROSS OF MASS INPT |
| 2222002330 | Other | MA | BLUE CROSS OF MASS OP SUR |
| 3032125 | Medicaid | CT | |
| 2222002325 | Other | MA | BLUE CROSS OF MASS OUTPT |
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