Wing Memorial Hospital Corporation

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

230 Issued in MA

Legal business name

WING MEMORIAL HOSPITAL CORPORATION

Doing business as

Wing Memorial Hospital & Medical Centers

Practice address

40 Wright St
Palmer, MA 01069-1138

Phone

(413) 283-7651

Fax

(413) 284-5117

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Keary T. Allicon

Title

VP/Finance & Cfo

Phone

(413) 284-5302

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wing Memorial Hospital & Medical Centers Doing business as

Tax ID family

Baystate Wing Hospital Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wing Memorial Hospital Corporation

  • Chiropractor
  • Palmer, MA
  • NPI 1770738262
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Wing Memorial Hospital Corporation

  • Chiropractor
  • Palmer, MA
  • NPI 1770738262
  NPPES parent name

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1598923625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WRIGHT ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691138",
            "telephone_number": "413-283-7651",
            "fax_number": "413-284-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WRIGHT ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691138",
            "telephone_number": "413-283-7651",
            "fax_number": "413-284-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WING MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "ALLICON",
        "authorized_official_first_name": "KEARY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VP/FINANCE & CFO",
        "authorized_official_telephone_number": "413-284-5302"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD OF MASSACHUSETTS",
            "identifier": "LG0028",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001191; 1202057",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wing Memorial Hospital & Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill M Williams
• Susan Williams, APRN
• William L Williams III, PA
• Paul L. Willis, MD
• Wing Emergency Services, PC
• Wing Memorial Hospital Corporation
• Rebecca J. Wing, MPT
• Jennifer L Winslow, DO
• Gary Wolf, OD
• Donna L Wood Sholberg, MSN RN CS

• Registered Dietitian in Palmer, MA
• Providers in Palmer, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.