Organization Active NPI

Abc Health Services Inc

  • Chiropractor
  • East Longmeadow, MA
National Provider Identifier
1104034255
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MA1052 Issued in MA
Legal business name
ABC HEALTH SERVICES INC
Practice address
200 N Main St Ste 10
East Longmeadow, MA 01028-2353
Phone
(413) 525-2932
Fax
(413) 525-6839
NPI assigned
May 21, 2007
Last updated
Mar 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Mr. William R. Bazin, D.C.NPI 1578624581
Title
Chiropractor
Phone
(413) 525-2932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MA1052 MA Primary

Addresses

Primary practice location

200 N Main St Ste 10
East Longmeadow, MA 01028-2353

Mailing address

200 N Main St Ste 10
East Longmeadow, MA 01028-2353
Phone (413) 525-2932

Other identifiers 3

IdentifierTypeStateIssuer
Y39840OtherMABCBS GROUP#
MA1052OtherMALICENSE
Y35719OtherMABCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050131000805 MA Part B Supplier - Clinic/Group Practice 6709836323 Receives reassigned benefits from 2 practitioners
Practice locations: East Longmeadow, MA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

200 N Main St
Ste 10
East Longmeadow, MA 01028
Phone (413) 525-2932

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1104034255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST STE 10",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282353",
            "telephone_number": "413-525-2932",
            "fax_number": "413-525-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST STE 10",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282353",
            "telephone_number": "413-525-2932",
            "fax_number": "413-525-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "BAZIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "413-525-2932",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "MA1052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP#",
            "identifier": "Y39840",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA1052",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "Y35719",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.