Organization Active NPI

Riverbend Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Chicopee, MA
National Provider Identifier
1659482792
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RIVERBEND MEDICAL GROUP, INC
Doing business as
Trinity Health Of New England Medical Group
Practice address
444 Montgomery Street
Chicopee, MA 01020-1997
Phone
(413) 523-0824
Fax
(413) 523-0930
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
James M Harris
Title
Regional Director of Reimbursement
Phone
(860) 714-4396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

444 Montgomery Street
Chicopee, MA 01020-1997

Mailing address

444 Montgomery Street
Chicopee, MA 01020-1997
Phone (413) 523-0824

Other identifiers 1

IdentifierTypeStateIssuer
9782613MedicaidMA

Other names 2

  • Trinity Health Of New England Medical Group Doing business as
  • MWA,PC Former legal business name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

31 Sycamore St
Ste 202
Glastonbury, CT 06033
Phone (860) 242-3000

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1659482792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MONTGOMERY STREET",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201997",
            "telephone_number": "413-523-0824",
            "fax_number": "413-523-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MONTGOMERY STREET",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201997",
            "telephone_number": "413-523-0824",
            "fax_number": "413-523-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "860-714-4396"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9782613",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Health Of New England Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MWA,PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.