NPIMap

Organization Active NPI

Holyoke Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Holyoke, MA
National Provider Identifier
1083776140
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
2145 Issued in MA
Legal business name
HOLYOKE MEDICAL CENTER, INC.
Practice address
575 Beech St
Holyoke, MA 01040
Phone
(413) 534-2805
Fax
(413) 534-2752
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul M Silva
Title
Vice President of Finance
Phone
(413) 534-2567

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 2145 MA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 2145 MA
Multi-Specialty Clinic/Center 261QM1300X 2145 MA
Psychiatric Hospital Unit 273R00000X 2145 MA Primary
General Acute Care Hospital 282N00000X 2145 MA

Addresses

Primary practice location

575 Beech St
Holyoke, MA 01040

Mailing address

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2805

Other identifiers 6

IdentifierTypeStateIssuer
1200798MedicaidMA
110026773COtherMAMMIS ID # INPATIENT MENTAL HEALTH
110026773DOtherMAMMIS ID # OUTPATIENT MENTAL HEALTH
1001647MedicaidMA
110026773BOtherMAMMIS ID# OUTPATIENT
110026773AOtherMAMMIS ID # INPT

Other names 1

  • HOLYOKE HOSPITAL INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080116000505 MA Part A Provider - Hospital 2163419383 Practice locations: Holyoke, MA
O20080619000490 MA Part B Supplier - Clinic/Group Practice 2163419383 Receives reassigned benefits from 27 practitioners
1 other NPI on this enrollment
Practice locations: Holyoke, MA

Hospital certification: CCN 22S024

Legal name
HOLYOKE MEDICAL CENTER INC
Doing business as
HOLYOKE MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Mar 6, 1984 in MA
Enrollment address
575 Beech St
Holyoke, MA 10402223
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Holyoke Medical Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Spiros Hatiras Individual Corporate Director Jan 26, 2017
W-2 Managing Employee Jan 26, 2017
Tricia Koss Individual Corporate Director Jan 26, 2017
Simon a Ahtaridis Individual Corporate Director Nov 18, 2019
W-2 Managing Employee Nov 18, 2019
Valley Health Systems Inc Organization, Holyoke, MA Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2007 100%
Mary Jo Maydew Individual Corporate Director Jan 26, 2017
Shannon Gurek Individual Corporate Director Jan 26, 2017
Idelia Smith Individual Corporate Director Oct 1, 2007

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 78

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1083776140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "01040",
            "telephone_number": "413-534-2805",
            "fax_number": "413-534-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "01040",
            "telephone_number": "413-534-2805",
            "fax_number": "413-534-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLYOKE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "413-534-2567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "2145",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MA",
            "license": "2145",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MA",
            "license": "2145",
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MA",
            "license": "2145",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "2145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200798",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMIS ID # INPATIENT MENTAL HEALTH",
            "identifier": "110026773C",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMIS ID # OUTPATIENT MENTAL HEALTH",
            "identifier": "110026773D",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001647",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMIS ID# OUTPATIENT",
            "identifier": "110026773B",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMIS ID # INPT",
            "identifier": "110026773A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLYOKE HOSPITAL INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.