NPI 1437675527 · live from the CMS NPI Registry
1200 Suffield Street Operator LLC
Skilled Nursing Facility in Agawam, MA. National Provider Identifier 1437675527, active.
NPI record
| NPI | 1437675527 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 1200 Suffield St, Agawam, MA 01001 |
| Practice phone | 413-789-2200 |
| Enumerated | August 21, 2017 |
| Last updated | July 21, 2022 |
| Authorized official | William Stephan, Cfo |
| Other names | Agawam Healthcare |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.