Liberty Street Facility in Springfield - Ambulatory Surgical

Liberty Street Facility - NPI 1902963705

Liberty Street Facility is a Ambulatory Surgical in Springfield, Massachusetts. Liberty Street Facility practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Liberty Street Facility is 1902963705. The last update date is 2020-08-22.

Liberty Street Facility's current location address is 125 Liberty St, Springfield, Massachusetts. You can contact this provider via phone number 4137464800. The mailing address for Liberty Street Facility is 125 Liberty St, Springfield, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Liberty Street Facility
Address 125 Liberty St, Springfield, Massachusetts
Phone Number 4137464800
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Chadbourne M David
Credentials MD
Telephone Number 4137464800

NPI Number Detail

NPI Number 1902963705
Provider Enumeration Date 2007-01-02
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 125 Liberty St
City Springfield
State Massachusetts (MA)
Post Code 11031114
Phone Number 4137464800
Fax Number

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 59098
Definition:
Provides outpatient surgical services not requiring hospitalization.

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FAQs about Liberty Street Facility

What is the unique 10-digit identification code issued to Liberty Street Facility by the Centers for Medicare & Medicaid Services?

The Liberty Street Facility has been assigned the NPI (National Provider Identifier) 1902963705 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Liberty Street Facility is physically located?

The Liberty Street Facility is physically situated at the following address: 125 Liberty St, Springfield, MA, 11031114.

What is Liberty Street Facility's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Liberty Street Facility is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.

On what date did the Centers for Medicare & Medicaid Services assign the 1902963705 to Liberty Street Facility?

The Centers for Medicare & Medicaid Services assigned the 1902963705 to Liberty Street Facility on 2007-01-02.

When was the information regarding Liberty Street Facility, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Liberty Street Facility, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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