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Hospitals General Acute Care Hospital Critical Access

Provider NPI: 1174689467

Organization Information:
Organization Name:  FAIRVIEW HOSPITAL
Organization is Subpart
Authorized Official:  DARLENE  RODOWICZ  CHIEF FINANCIAL OFFICER  413-447-2000

Practice Location:
Tel: 413-528-0790  Fax: 413-528-8615

Business Mailing Address:
PO BOX 1172  PITTSFIELD, MA 01202-1172 US
Tel: 413-528-0790  Fax: 413-528-8615

NPI Information:
NPI: 1174689467
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
General Acute Care Hospital
Critical Access
Y275N00000XHospital Units
Medicare Defined Swing Bed Unit

Other Provider Identifiers:

BLUE CROSS SDC2222003830MA01

American Medical Association 2012 taxonomy code information

Code: 275N00000X





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