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Umass Memorial Health-Harrington Hospital Inc

Organization Active NPI General Acute Care Hospital · Southbridge, MA

NPI 1790780047 · NPPES record last updated Dec 6, 2023

Key facts

NPI
1790780047
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
57 (MA)
Legal business name
UMASS MEMORIAL HEALTH-HARRINGTON HOSPITAL INC
Practice address
100 South Street
Southbridge, MA 01550
Phone
(508) 765-9771
Fax
(508) 764-2490
NPI assigned
Jun 14, 2005
Organization subpart
No

Authorized official

Name
John E Bronhard II
Title
Cfo
Phone
(617) 224-7634

Owners & managing parties with NPI records 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Facilities with the same owner 4

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

Practitioners 169

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 169

Affiliated clinicians 976

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

View all 976

Medicare Care Compare: Hospital

Listed as
Umass Memorial Health - Harrington Hospital CCN 220019
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in MA
Opioid treatment program
Medicare-enrolled since Nov 3, 2021

Hospital certification: CCN 220019

Legal name
UMASS MEMORIAL HEALTH-HARRINGTON HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 23, 1993
Beds
113
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Enrollment address
100 South St
Southbridge, MA 15504051
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Sergio L Melgar
Individual 		Corporate Officer
Treasurer		 Mar 31, 2014
Corporate Director Mar 31, 2014
Melissa Nicole Lennon
Individual 		W-2 Managing Employee
Sr. Claims System Analyst		 Sep 26, 2023
Steve Roach
Individual 		Corporate Director Nov 1, 2013
Douglas Brown
Individual 		Corporate Officer
President		 Jan 25, 2013
Corporate Director Jan 25, 2013
Randall Becker
Individual 		Corporate Director Jul 1, 2021
Edward Moore
Individual 		Corporate Officer
Ceo		 Aug 1, 2007
W-2 Managing Employee Aug 1, 2007
Michael a Mahan
Individual 		Corporate Director Mar 31, 2018
Wendy L Horr
Individual 		W-2 Managing Employee
Provider Enrollment Specialist		 Feb 3, 2014
John Glassburn
Individual 		Corporate Officer
Secretary		 Apr 1, 2016
Heidi Ann Nano
Individual 		W-2 Managing Employee
Manager, Pre Billing and Claims		 Sep 26, 2023
Jack Wilson
Individual 		Corporate Director Mar 31, 2018
James Leary
Individual 		Corporate Director Dec 1, 2018
Michael L Gustafson
Individual 		Corporate Director Dec 1, 2018
Debra M Wooldridge
Individual 		W-2 Managing Employee
Supervisor, Provider Enrollment		 Jul 1, 2021
Eric William Dickson
Individual 		Corporate Director Mar 31, 2013
Umass Memorial Community Hospitals
Organization · Worcester, MA
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Jul 1, 2021 100%
Steven M McCue
Individual 		Corporate Officer
Cfo		 Jun 27, 2024
Luis Maseda
Individual 		Corporate Director Oct 1, 2017
William McGrail
Individual 		Corporate Director Oct 1, 1997
William F Corbett
Individual 		Corporate Director Oct 1, 2017
Robert Paulhus
Individual 		Corporate Director Oct 1, 2017
Michael Murphy
Individual 		Corporate Director Mar 31, 2008
Marilyn C Amaya
Individual 		W-2 Managing Employee
Provider Enrollment Specialist		 Jul 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041004001081 MA Part B Supplier - Clinic/Group Practice 8123087319 Receives reassigned benefits from 74 practitioners
Practice locations: Webster, MA; Sturbridge, MA; Spencer, MA; Southbridge, MA; Charlton, MA; East Brookfield, MA
O20071228000134 MA Part a Provider - Hospital 8123087319 Practice locations: Charlton, MA; Webster, MA; Sturbridge, MA; Spencer, MA; Southbridge, MA
O20220131000171 MA Part a Provider - Other 8123087319 Practice locations: Webster, MA

National Provider Directory

Locations

10 N Main St
Charlton, MA 01507
Phone (508) 248-3015

100 South St
Ste 110
Southbridge, MA 01550
Phone (508) 764-8012

100 South St
Ste 102
Southbridge, MA 01550
Phone (508) 765-7860

94 South St
Fl 2
Southbridge, MA 01550

32 Oakes Ave
Southbridge, MA 01550
Phone (508) 765-3093

100 South St
Ste 103
Southbridge, MA 01550
Phone (508) 764-2515

198 Charlton Rd
Ste 1
Sturbridge, MA 01566

336 Thompson Rd
Webster, MA 01570
Phone (508) 943-0382

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 57 MA Yes

Addresses

Primary practice location

100 South Street
Southbridge, MA 01550

Mailing address

100 South Street
Southbridge, MA 01550
Phone (508) 765-9771

Other providers in Southbridge, MA

All providers in Southbridge, MA · General Acute Care Hospital in Massachusetts

Sources for this page

Verify at the official NPI Registry.