Active NPI
Fairview Hospital Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Great Barrington, MA
National Provider Identifier
1235300377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 2052
- Legal business name
- FAIRVIEW HOSPITAL DIALYSIS CENTER
- Practice address
- 10 Maple Ave
Great Barrington, MA 01230-1904 - Phone
- (413) 854-9910
- Fax
- (413) 854-9911
- NPI assigned
- Mar 17, 2008
- Last updated
- Jan 23, 2012
- Organization subpart
- Yes
- Parent organization
- FAIRVIEW HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Darlene Rodowicz
- Title
- Chief Financial Officer
- Phone
- (413) 447-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 2052 | MA | Primary |
Addresses
Primary practice location
10 Maple Ave
Great Barrington, MA 01230-1904
Mailing address
PO Box 1172
Pittsfield, MA 01202-1172
Phone (413) 447-2000
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0373 | Other | NY | MVP |
| 1200542 | Medicaid | MA | |
| 20850 | Other | MA | BMC HEALTH NET PLAN |
| 900245 | Other | MA | TUFTS HEALTH PLAN OUTPT |
| 221302 | Other | KY | HUMANA |
| 6300460 | Other | AETNA | |
| 10005803 | Other | NY | CDPHP |
| 2222003801 | Other | MA | BLUE CROSS INPATIENT |
| 900038 | Other | MA | HARVARD PILGRIM |
| HO4359 | Other | CT | OXFORD HEALTH PLANS |
| 905627 | Other | MA | TUFTS HEALTH PLAN INPT |
| 1001728 | Medicaid | MA | |
| 12257 | Other | MA | HEALTH NEW ENGLAND |
| 2222003830 | Other | MA | BLUE CROSS SDC |
| 2222003810 | Other | MA | BLUE CROSS OUTPATIENT |
| 992756 | Other | CT | CONNECTICARE |
| 220038 | Other | MA | UNICARE MA EMPLOYEE GIC |
National Provider Directory
National Provider Directory- Part of
- Fairview Hospital Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Critical Access Hospital
- Great Barrington, MA
- NPI 1730112251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327276800000",
"number": "1235300377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1172",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012021172",
"telephone_number": "413-447-2000",
"fax_number": "413-447-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MAPLE AVE",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301904",
"telephone_number": "413-854-9910",
"fax_number": "413-854-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRVIEW HOSPITAL DIALYSIS CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAIRVIEW HOSPITAL",
"enumeration_date": "2008-03-17",
"last_updated": "2012-01-23",
"status": "A",
"authorized_official_last_name": "RODOWICZ",
"authorized_official_first_name": "DARLENE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "413-447-2000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "MA",
"license": "2052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "0373",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1200542",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTH NET PLAN",
"identifier": "20850",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN OUTPT",
"identifier": "900245",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "221302",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "6300460",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10005803",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS INPATIENT",
"identifier": "2222003801",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "900038",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "HO4359",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN INPT",
"identifier": "905627",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001728",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "12257",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SDC",
"identifier": "2222003830",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OUTPATIENT",
"identifier": "2222003810",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "992756",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE MA EMPLOYEE GIC",
"identifier": "220038",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Barrington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.