Fairview Hospital Dialysis Center in Great Barrington - End-stage Renal Disease (esrd) Treatment
Fairview Hospital Dialysis Center - NPI 1235300377
Fairview Hospital Dialysis Center is a End-stage Renal Disease (esrd) Treatment in Great Barrington, Massachusetts. Fairview Hospital Dialysis Center practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Fairview Hospital Dialysis Center is 1235300377. The last update date is 2012-01-23.
Fairview Hospital Dialysis Center's current location address is 10 Maple Ave, Great Barrington, Massachusetts. You can contact this provider via phone number 4138549910 and fax number 4138549911. The mailing address for Fairview Hospital Dialysis Center is 10 Maple Ave, Great Barrington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairview Hospital Dialysis Center |
|---|---|
| Address | 10 Maple Ave, Great Barrington, Massachusetts |
| Phone Number | 4138549910 |
| Fax Number | 4138549911 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Rodowicz Darlene |
| Telephone Number | 4134472000 |
NPI Number Detail
| NPI Number | 1235300377 |
|---|---|
| Provider Enumeration Date | 2008-03-17 |
| Last Updated Date | 2012-01-23 |
Provider Mailing Address Detail
| Address | 10 Maple Ave |
|---|---|
| City | Great Barrington |
| State | Massachusetts (MA) |
| Post Code | 12301904 |
| Phone Number | 4138549910 |
| Fax Number | 4138549911 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 2052 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 373 | NY | MVP | |
| 1200542 | MA | -- | |
| 20850 | MA | BMC HEALTH NET PLAN | |
| 900245 | MA | TUFTS HEALTH PLAN OUTPT | |
| 221302 | KY | HUMANA | |
| 6300460 | AETNA | ||
| 10005803 | NY | CDPHP | |
| 2222003801 | MA | BLUE CROSS INPATIENT | |
| 900038 | MA | HARVARD PILGRIM | |
| HO4359 | CT | OXFORD HEALTH PLANS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Fairview Hospital Dialysis Center by the Centers for Medicare & Medicaid Services?
The Fairview Hospital Dialysis Center has been issued the NPI (National Provider Identifier) 1235300377, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Fairview Hospital Dialysis Center located?
The Fairview Hospital Dialysis Center is located at 10 Maple Ave, Great Barrington, MA 12301904.
What is the Fairview Hospital Dialysis Center's area of specialization and corresponding taxonomy classification?
The Fairview Hospital Dialysis Center's specialty field is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their specialties.
On what date did the Fairview Hospital Dialysis Center receive the assignment of its 1235300377 from the Centers for Medicare & Medicaid Services?
The Fairview Hospital Dialysis Center was issued its 1235300377 by the Centers for Medicare & Medicaid Services on 2008-03-17.
As of what date were the details pertaining to Fairview Hospital Dialysis Center last refreshed?
The information related to the Fairview Hospital Dialysis Center, including its address, specialty, and other relevant details, was last updated on 2012-01-23.