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Contact Information

UMASS MEMORIAL MEDICAL CENTER, INC
55 LAKE AVE N
WORCESTER, MA01655-0002
 Phone: 508-334-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for UMASS MEMORIAL MEDICAL CENTER, INC

NPI Number 1679131361
LBN Legal business name UMASS MEMORIAL MEDICAL CENTER, INC
Authorized official MARILYN AMAYA - (PROVIDER ENROLLMENT SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/29/2019
Last updated 05/29/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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