Organization Active NPI

Pac Associates

  • Rural Health Clinic/Center
  • Lenox, MA
National Provider Identifier
1447535141
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
PA3715 Issued in MA
Legal business name
PAC ASSOCIATES
Practice address
383 East St
Lenox, MA 01240-2234
Phone
(413) 881-4066
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Mark Manzo
Title
President
Phone
(413) 881-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X PA3715 MA Primary

Addresses

Primary practice location

383 East St
Lenox, MA 01240-2234

Mailing address

PO Box 115
West Stockbridge, MA 01266-0115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1447535141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "WEST STOCKBRIDGE",
            "state": "MA",
            "postal_code": "012660115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 EAST ST",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402234",
            "telephone_number": "413-881-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "MANZO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-881-4066"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MA",
            "license": "PA3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenox, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.