Provider Demographics
NPI:1861710055
Name:PATIENT CENTERED MEDICAL CARE INC
Entity type:Organization
Organization Name:PATIENT CENTERED MEDICAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GASKIN-RICE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:413-782-0340
Mailing Address - Street 1:68 WOLLASTON ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01119-1638
Mailing Address - Country:US
Mailing Address - Phone:413-782-0340
Mailing Address - Fax:413-782-0340
Practice Address - Street 1:68 WOLLASTON ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01119-1638
Practice Address - Country:US
Practice Address - Phone:413-782-0340
Practice Address - Fax:413-782-0340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAT81M251J00000X
MA8063251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care