UMASS MEMORIAL MEDICAL GROUP, INC. – NPI #1861038754
Clinic/Center

A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

UMASS MEMORIAL MEDICAL GROUP, INC. is an AHC clinic located in WORCESTER, MA. NPPES has assigned the NPI number 1861038754 to UMASS MEMORIAL MEDICAL GROUP, INC. on November 26, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0006X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Fertility Facility

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UMASS MEMORIAL MEDICAL GROUP, INC. below.

NPI Profile for
UMASS MEMORIAL MEDICAL GROUP, INC.

NPI Number
1861038754
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UMASS MEMORIAL MEDICAL GROUP, INC.
Primary location
33 KENDALL STREET
LEVINE 2
WORCESTER, MA 01605-2726
Phone: (508) 334-6910 Fax:
Mailing address
281 LINCOLN STREET
PROVIDER ENROLLMENT
WORCESTER, MA 01605-2138
Phone: (508) 334-8890 Fax:
Organization Subpart
Yes - UMASS MEMORIAL MEDICAL GROUP, INC. is subpart of another organization.
Authorized Official
DEBRA WOOLDRIDGE
SUPERVISOR, PROVIDER ENROLLMENT
Phone: (508) 334-8890
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0006X
- Clinic/Center / Ambulatory Fertility Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.