Wing Memorial Hospital Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

835 Issued in MA

Legal business name

WING MEMORIAL HOSPITAL CORPORATION

Practice address

40 Wright St
Palmer, MA 01069-1138

Phone

(413) 283-7651

Fax

(413) 284-5117

NPI assigned

Nov 25, 2008

Organization subpart

Yes

Parent organization

WING MEMORIAL HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Keary T Allicon

Title

Chief Financial Officer

Phone

(413) 284-5302

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Wing Memorial Hospital & Medical Centers/Chiropractic services Other name

Tax ID family

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

Part of

Baystate Wing Hospital Corp

Other organizations with this tax ID 1

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

• Wing Memorial Hospital Corporation

  • Registered Dietitian
  • Palmer, MA
  • NPI 1598923625
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wing Memorial Hospital Corporation

  • Registered Dietitian
  • Palmer, MA
  • NPI 1598923625
  NPPES parent name

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1770738262",
    "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": "YES",
        "parent_organization_legal_business_name": "WING MEMORIAL HOSPITAL CORPORATION",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "ALLICON",
        "authorized_official_first_name": "KEARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "413-284-5302"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OUTPT. MEDICAL CENTERS",
            "identifier": "2222003013",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608149",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "220030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - HOSPITAL OUTPATIENT",
            "identifier": "2222003010",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608157",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001191",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1202057",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wing Memorial Hospital & Medical Centers/Chiropractic services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 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
• Helen Wood

• Chiropractor in Palmer, MA
• Providers in Palmer, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.