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FAIRVIEW HOSPITAL

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:
29 LEWIS AVE  GREAT BARRINGTON, MA 01230-1713 US
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

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N282NC0060XHospitals
General Acute Care Hospital
Critical Access
MA2052
Y275N00000XHospital Units
Medicare Defined Swing Bed Unit
MA2052

Other Provider Identifiers:

IssuerNumberStateType
MVP037301
TUFTS HEALTH PLAN INPT90562701
HUMANA22130201
1200542MA05
AETNA630046001
TUFTS HEALTH PLAN OUTPT90024501
CONNECTICARE99275601
1001728MA05
HARVARD PILGRIM HEALTH90003801
CDPHP1000580301
BLUE CROSS OUTPT2222003810MA01
OXFORDHO435901
UNICARE MA EMPLOYEE GIC220038MA01
BMC HEALTH NET PLAN20850MA01
BLUE CROSS INPT2222003801MA01
HEALTH NEW ENGLAND1225701
BLUE CROSS SDC2222003830MA01



American Medical Association 2012 taxonomy code information

Code: 275N00000X

Type:

Classification:



Definition:



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