UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC (NPI# 1285171934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285171934 |
| Entity Type | Organization |
| Organization Name | UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC |
| Other Organization Name | UMASS MEMORIAL HEALTHCARE INC HEALTHALLIANCE HOSPITALS INC |
| Practice Address |
201 Highland St Clinton MA 01510-1037 |
| Mailing Address |
60 Hospital Rd Leominster MA 01453-2205 |
| Practice Telephone | 9783683000 |
| Mailing Telephone | 9784662000 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | JOHN E BRONHARD (TREASURER AND CFO) |
| Authorized Official Telephone | 9788701550 |
| Is Organization Subpart | Y |
| Parent Organization Name | UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | MA | Hospital Units |
| Other Name | Type Code |
|---|---|
| UMass Memorial Healthcare Inc HealthAlliance Hospitals Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841852811 | Umass Memorial Healthalliance Clinton Hospital Inc | Dietitian, Registered | 60 Hospital Rd, Leominster, MA 01453-2205 | 2019-07-01 |
| 1811496268 | Umass Memorial Healthalliance Clinton Hospital Inc | Clinic/Center | 510 N Main St, Leominster, MA 01453-1814 | 2018-02-12 |
| 1043315310 | Umass Memorial Healthalliance Clinton Hospital Inc | Psychiatric Unit | 60 Hospital Rd, Leominster, MA 01453-2205 | 2006-09-13 |
| 1013995133 | Umass Memorial Healthalliance Clinton Hospital Inc | General Acute Care Hospital | 60 Hospital Rd, Leominster, MA 01453-2205 | 2006-01-09 |
| Street Address |
201 HIGHLAND ST |
| City | CLINTON |
| State | MA |
| Zip Code | 01510-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812280 | Ronald G. Lavenda | Podiatrist | 201 Highland St, Suite C Clinton Hospital, Clinton, MA 01510-1037 | 2005-06-22 |
| 1205478708 | Laura Joan Cerundolo | Dietitian, Registered | 201 Highland St, Clinton, MA 01510-1037 | 2019-10-16 |
| 1255816682 | Michelle Serena Iorio | Nurse Practitioner | 201 Highland St, Clinton, MA 01510-1037 | 2018-10-02 |
| 1841663994 | Jennifer Baer | Physical Therapist | 201 Highland St, Clinton, MA 01510-1037 | 2015-11-10 |
| 1962870345 | Brenda Jean Ferguson | Nurse Practitioner | 201 Highland St, Clinton, MA 01510-1037 | 2015-09-02 |
| 1821415035 | Sreekiran Thotakura | Family Medicine | 201 Highland St, Clinton, MA 01510-1037 | 2014-03-25 |
| 1528348745 | Tammy Lynn Chamberland | Nurse Practitioner | 201 Highland St, Clinton, MA 01510-1037 | 2011-08-18 |
| 1285927343 | Joshua A. Orabone | Internal Medicine | 201 Highland St, Clinton, MA 01510-1037 | 2011-05-24 |
| 1972734952 | Venubabu Kandimalla | Internal Medicine | 201 Highland St, Clinton, MA 01510-1037 | 2009-08-07 |
| 1326203464 | Idalmis Elizabeth Murray | Clinical Nurse Specialist | 201 Highland St, Clinton, MA 01510-1037 | 2008-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861880585 | Counseling & Assesment Clinic | Community/Behavioral Health | 1 Coolidge Pl Suit 712, Clinton, MA 01510 | 2015-01-05 |
| 1306274121 | Patricia Iorio | Dietitian, Registered | 602 Devenwood Way, Clinton, MA 01510 | 2013-10-15 |
| 1366715773 | Norah E Mcnally | Dietitian, Registered | 56 Beech Street, Clinton, MA 01510 | 2012-02-15 |
| 1891859708 | Param B Singh | Internal Medicine | 201 Highland Sreet, Clinton, MA 01510 | 2006-12-22 |
| 1073824843 | Stacy Temple | Dentist | 200 High St, Edward M. Kennedy Community Health Center, Clinton, MA 01510 | 2010-06-28 |
| 1942400361 | Kiran Sanjay Naik | Dentist | 200 High St, Clinton, MA 01510 | 2007-07-24 |
| 1386746865 | Maria Anna Channell | Psychologist | 221 Greeley St, Clinton, MA 01510-1029 | 2006-09-03 |
| 1871651000 | Jennifer Jane Soldano | Counselor | 221 Greeley St, Clinton, MA 01510-1029 | 2006-12-04 |
| 1215983507 | Dicie Jane Niggl | Nurse Practitioner | 201 Highland St Ste 1, Clinton Hospital, Clinton, MA 01510-1037 | 2006-05-26 |
| 1578622031 | Marianne Monet Willey Trotter | Family Medicine | 201 Highland St Ste 1, Clinton, MA 01510-1037 | 2006-12-08 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366790693 | Medstar Southern Maryland Hospital Center Inc | Psychiatric Unit | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2012-08-16 |
| 1386801272 | Red Rock Behavioral Health Services | Psychiatric Unit | 70 N 31st St, Clinton, OK 73601-9116 | 2008-05-19 |
| 1821127572 | Mercy Medical Center - Clinton, Inc. | Psychiatric Unit | 1410 N 4th St, Clinton, IA 52732-2940 | 2007-03-05 |
| 1790850071 | Clinton Hospital Association | Psychiatric Unit | 201 Highland St, Clinton, MA 01510-1037 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225261589 | Cambridge Health Alliance | Psychiatric Unit | 153 Leyden St Apt 2, East Boston, MA 02128-2617 | 2009-09-02 |
| 1467641126 | Boston Healthcare Va | Psychiatric Unit | 204 Bellingham Ave, Revere, MA 02151-4106 | 2007-10-18 |
| 1528261690 | Northshore Medical Center | Psychiatric Unit | 172 Lafayette St., Salem, MA 01970 | 2007-06-07 |
| 1629062906 | The Mercy Hospital Inc | Psychiatric Unit | 1233 Main St, Holyoke, MA 01040 | 2005-09-01 |
| 1194250290 | Mclean Hospital | Psychiatric Unit | 30 Warren St, Brighton, MA 02135-3602 | 2017-04-26 |
| 1700216850 | Nashoba Valley Medical Center, A Steward Family Hospital, Inc. | Psychiatric Unit | 200 Groton Rd, Ayer, MA 01432-1168 | 2013-11-26 |
| 1225399785 | Brockton Multi Services | Psychiatric Unit | 165 Quincy St, Brockton, MA 02302-2988 | 2012-05-31 |
| 1720369036 | Quincy Medical Center, A Steward Family Hospital, Inc. | Psychiatric Unit | 114 Whitwell St, Quincy, MA 02169-1870 | 2011-08-31 |
| 1376822676 | Morton Hospital, A Steward Family Hospital, Inc. | Psychiatric Unit | 88 Washington St, Taunton, MA 02780-2465 | 2011-08-04 |
| 1609172055 | Merrimack Valley Hospital, A Steward Family Hospital, Inc. | Psychiatric Unit | 140 Lincoln Ave, Haverhill, MA 01830-6700 | 2011-02-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.