Umass Memorial Medical Center, INC

NPI #1942982921 in Worcester, Massachusetts

Provider Information

NPI Number: 1942982921
Entity Type: Organization
Organization Name: Umass Memorial Medical Center, INC
Subpart: Yes (part of a larger organization)
Parent Organization: UMASS MEMORIAL MEDICAL CENTER, INC
Primary Specialty: Ambulance
Enumeration Date: Aug 1, 2023
Last Updated: Aug 1, 2023

Practice Location

Address: 55 LAKE AVE N
City: Worcester
State: Massachusetts
ZIP Code: 01655-0002
Phone: (508) 334-1000

Authorized Official

Name: MARILYN AMAYA
Title: PROVIDER ENROLLMENT SPECIALIST
Phone: (508) 334-6503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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