Merrimack Valley Health Services Inc
Organization Active NPI Magnetic Resonance Imaging (MRI) Clinic/Center · Lawrence, MA
NPI 1124185616 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1124185616
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
- Legal business name
- MERRIMACK VALLEY HEALTH SERVICES INC
- Practice address
- 1 General St
Lawrence, MA 01841-2961 - Phone
- (978) 683-4000
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Toni Cooper
- Title
- Director of Credentialing
- Phone
- (754) 206-6198
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Member of 2
Practitioners 9
-
Stewart T Hou, M.D.
-
Seyedeh Nina Masoom, M.D.
-
James William Meyer, M.D.
-
David M. Novick, M.D.
-
Corinne E Sadoski, M.D.
-
Jed K. Weinstock, M.D.
-
Zinaida Matlyuk, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040312000556 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4587553052 | Practice locations: Lawrence, MA |
National Provider Directory
- Tax ID family
- Merrimack Valley Health Services Inc
Locations
323 Lowell St
Unit 2
Andover, MA 01810
Phone (978) 686-6730
1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156
100 Andover Bypass St
Ste 101
North Andover, MA 01845
Phone (978) 686-6730
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Yes |
Addresses
Primary practice location
1 General St
Lawrence, MA 01841-2961
Mailing address
18201 Von Karman Ave Ste 600
Irvine, CA 92612-1176
Phone (800) 544-3215
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21730 | Other | MA | FALLON |
| 29998 | Other | MA | AETNA US HEALTHCARE |
| 981083 | Other | MA | NETWORK HEALTH |
| 0007697 | Other | MA | NETWORK HEALTH |
| 0489237 | Other | MA | CIGNA HEALTHSOURCE |
| 708812 | Other | MA | TUFTS HP SECURE HORIZON |
| 018269 | Other | MA | BCBS |
| 0007697 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 608297 | Other | MA | HARVARD PILGRIM HEALTH CA |
| 114493500 | Other | MA | US DEPT OF LABOR OWCP |
| 1532464 | Medicaid | MA |
Other providers in Lawrence, MA
- Lindsey Mercer
- Johannah Kathryn Merrill
- Merrimack Medical & Walk in Center, LLC
- Merrimack Medical & Walk in S LLC
- Merrimack Valley ABA Services Inc
- Merrimack Valley Orthodontics LLC
- Merrimack Valley Pain Management Associates, P.C.
- Merrimack Valley Pain Management PC
- Merrimack Valley Physical Therapy
- Merrimack Valley Transportation Inc.
All providers in Lawrence, MA · Magnetic Resonance Imaging (MRI) Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.