NPIMap

Organization Active NPI

Baystate Noble Hospital Corporation

  • General Acute Care Hospital
  • Westfield, MA
National Provider Identifier
1700816048
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2076 Issued in MA
Legal business name
BAYSTATE NOBLE HOSPITAL CORPORATION
Practice address
115 W Silver St
Westfield, MA 01085-3628
Phone
(413) 568-2811
Fax
(413) 572-5016
NPI assigned
Jul 3, 2006
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
David Witherell
Title
Senior Director, Payment Systems
Phone
(413) 794-7930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2076 MA Primary

Addresses

Primary practice location

115 W Silver St
Westfield, MA 01085-3628

Mailing address

115 W Silver St
Westfield, MA 01085-3628
Phone (413) 568-2811

Other identifiers 2

IdentifierTypeStateIssuer
1000608MedicaidMA
1201441MedicaidMA

Other names 1

  • Trustees of Noble Hospital Inc - acute Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728000039 MA Part A Provider - Hospital 2264405638 Practice locations: Westfield, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700816048. Details of each certification follow.

Hospital certification: CCN 220065

Legal name
BAYSTATE NOBLE HOSPITAL CORPORATION
Doing business as
BAYSTATE NOBLE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 13, 2019
Beds
97
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
115 W Silver St
Westfield, MA 10853628
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Baystate Noble HospitalCCN 220065 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Baystate Noble Hospital Corporation2 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.

Locations

100 Wason Ave
Fl 3
Springfield, MA 01107

759 Chestnut St
Fl 4
Springfield, MA 01199

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

Ownership & related parties

All disclosed owners & managing parties 27

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark a O'Connell Individual Corporate Director Jan 1, 2023
Nicolas Jabbour Individual Corporate Director Jan 1, 2024
Julie Quink Individual Corporate Director Jan 1, 2024
Ruth H Constantine Individual Corporate Director Feb 8, 2022
Sara a Rourke Individual Corporate Director Jan 1, 2022
Kristin R Delaney Individual Corporate Officer Jul 1, 2015
Paul Gosselin Individual Corporate Director Jun 18, 2026
Nancy Remillard Individual Corporate OfficerAssistant Clerk Nov 13, 2018
Peter Banko Individual Corporate OfficerPresident & Ceo Baystate Health Jun 3, 2024
Corporate DirectorPresident & Ceo Baystate Health Jun 3, 2024
Linda Thompson Individual Corporate Director Jan 1, 2023
Claudia R Coplein Individual Corporate Director Jan 1, 2017
Denise R. Jordan Individual Corporate Director Jan 1, 2020
Baystate Health, Inc Organization, Springfield, MA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2015 100%
Madeline Landrau Individual Corporate Director Jan 1, 2024
Akinyele K Lovelace Individual Corporate OfficerVice Chair Jul 2, 2025
Corporate Director Jan 1, 2020
Paul C. Picknelly Individual Corporate Director Jan 1, 2020
Harriet a Deverry Individual Corporate Director Jul 1, 2015
Colleen W Holmes Individual Corporate OfficerChair Jan 1, 2023
Corporate Director Jan 1, 2017
Richard D Bossie Individual Corporate Director Jan 1, 2022
Antonio E Dos-Santos Individual Corporate Director Jan 1, 2023
Baystate Administrative Services, Inc. Organization, Springfield, MA Non-profit Operational/Managerial Control Jul 1, 2015
Maria P Goncalves Individual Corporate Director Jan 1, 2018
Irene Rodriguez-Martin Individual Corporate Director Jan 1, 2018
Brandon E Okezie Individual Corporate Officer Jul 2, 2025
W-2 Managing Employee Jul 2, 2025
William R Webber Individual Corporate Director Jan 1, 2017
Sundeep M Shukla Individual Corporate Director Jan 1, 2023
Laurie Martin Individual Contracted Managing EmployeeCfo & Treasurer Jun 18, 2026
Corporate OfficerTreasurer Jun 18, 2026

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

Affiliated clinicians 743

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 743

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1700816048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W SILVER ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853628",
            "telephone_number": "413-568-2811",
            "fax_number": "413-572-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W SILVER ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853628",
            "telephone_number": "413-568-2811",
            "fax_number": "413-572-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE NOBLE HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "WITHERELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, PAYMENT SYSTEMS",
        "authorized_official_telephone_number": "413-794-7930"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "2076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000608",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201441",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trustees of Noble Hospital Inc - acute",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Trustees of Noble Hospital Inc - acute",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.