Src Springfield, Inc. in Needham - Skilled Nursing Facility

Src Springfield, Inc. - NPI 1265483796

Src Springfield, Inc. is a Skilled Nursing Facility in Needham, Massachusetts. Src Springfield, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Src Springfield, Inc. is 1265483796. The last update date is 2012-10-05.

Src Springfield, Inc.'s current location address is 63 Kendrick St, Needham, Massachusetts. You can contact this provider via phone number 7817079085 and fax number 7817079285. The mailing address for Src Springfield, Inc. is 63 Kendrick St, Needham, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Src Springfield, Inc.
Address 63 Kendrick St, Needham, Massachusetts
Phone Number 7817079085
Fax Number 7817079285
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Levin M. Tamilyn
Credentials ESQ.
Telephone Number 7817079510

NPI Number Detail

NPI Number 1265483796
Provider Enumeration Date 2006-05-12
Last Updated Date 2012-10-05

Provider Mailing Address Detail

Address 63 Kendrick St
City Needham
State Massachusetts (MA)
Post Code 24942708
Phone Number 7817079085
Fax Number 7817079285

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 899
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110026479A MA --

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FAQs about Src Springfield, Inc.

What is the Src Springfield, Inc.'s unique identification number?

The Src Springfield, Inc. has been assigned the NPI (National Provider Identifier) Number 1265483796 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Src Springfield, Inc. located?

The Src Springfield, Inc. is located at 63 Kendrick St, Needham, MA 24942708.

What is Src Springfield, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Src Springfield, Inc. is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.

When was the Src Springfield, Inc.'s 1265483796 issued?

The Src Springfield, Inc.'s 1265483796 was issued on 2006-05-12.

As of what date was the information pertaining to Src Springfield, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Src Springfield, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-10-05.

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