Provider Demographics
NPI:1174547871
Name:NORTH ADAMS REGIONAL HOSPITAL
Entity type:Organization
Organization Name:NORTH ADAMS REGIONAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMISANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-664-5000
Mailing Address - Street 1:71 HOSPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-2504
Mailing Address - Country:US
Mailing Address - Phone:413-664-5000
Mailing Address - Fax:
Practice Address - Street 1:71 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-2504
Practice Address - Country:US
Practice Address - Phone:413-664-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA273R00000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000020659OtherBMC HEALTH NET
CT003032299Medicaid
MA2222005101OtherINPATIENT
MA2222005130OtherASU
NY00759137Medicaid
VT1001667Medicaid
MA19856OtherPROFESSIONAL MD ED
MA900236OtherOUTPATIENT
MA14868OtherFACILITY
MA900029OtherFACILITY
MA1000616Medicaid
MA2222005110OtherOUTPATIENT
MA905651OtherINPATIENT
VT0220051Medicaid
MA1201476Medicaid
MA2222005150OtherPSYCHIATRIC
MAM19044OtherPROFESSIONAL MD
MA900236OtherOUTPATIENT
MA2222005150OtherPSYCHIATRIC
MA22S051Medicare ID - Type UnspecifiedPSYCHIATRIC