Consolidated Health Plan
NPI #1316369622 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1316369622
- Entity Type
- Organization
- Organization Name
- Consolidated Health Plan
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jan 7, 2014
- Last Updated
- Jan 7, 2014
Practice Location
- Address
- 2077 ROOSEVELT AVE
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01104-1657
- Phone
- (413) 733-4540
Authorized Official
- Name
- MS. LAURA A SHIVELY
- Title
- PROVIDER RELATIONS SUPERVISOR
- Phone
- (413) 733-4540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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