Active NPI
Bio-Medical Applications of Massachusetts, Inc.
Doing business as Ludlow Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ludlow, MA
National Provider Identifier
1720097439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.
- Doing business as
- Ludlow Dialysis Center
- Practice address
- 14 Chestnut PL
Suite 2
Ludlow, MA 01056-3476 - Phone
- (413) 589-1400
- NPI assigned
- Aug 5, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Fawcett
- Title
- Treasurer
- Phone
- (781) 402-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
14 Chestnut PL
Suite 2
Ludlow, MA 01056-3476
Mailing address
14 Chestnut PL
Suite 2
Ludlow, MA 01056-3476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1319841 | Medicaid | MA |
Other names 1
- LUDLOW DIALYSIS CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720097439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CHESTNUT PL",
"address_2": "SUITE 2",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010563476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CHESTNUT PL",
"address_2": "SUITE 2",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010563476",
"telephone_number": "413-589-1400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FAWCETT",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "781-402-9000"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1319841",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LUDLOW DIALYSIS CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ludlow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.