Provider Demographics
NPI:1023596863
Name:ARA-HOLYOKE DIALYSIS LLC
Entity type:Organization
Organization Name:ARA-HOLYOKE DIALYSIS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF NURSING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-371-7878
Mailing Address - Street 1:36 LOWER WESTFIELD RD UNIT C-153
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2749
Mailing Address - Country:US
Mailing Address - Phone:413-533-3128
Mailing Address - Fax:413-533-3126
Practice Address - Street 1:36 LOWER WESTFIELD RD UNIT C-153
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2749
Practice Address - Country:US
Practice Address - Phone:413-533-3128
Practice Address - Fax:413-533-3126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-03
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment