| Organization Name: | DIALYSIS CENTER OF WESTERN MASSACHUSETTS LLC |
| NPI Number: | 1235311051 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN J. MCDONOUGH (CHEIF OPERATING OFFICER) |
| Mailing Address: | 601 Memorial Dr Suite H Chicopee |
| State: | MA US |
| Postal Code: | 010205068 |
| Phone Number: | 4135933078 |
| Fax Number: | 4135931978 |
| NPI Enumeration Date: | 12/04/2007 |
| NPI Last Update Date: | 04/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |