Provider Demographics
NPI:1871714097
Name:GREENFIELD MANAGEMENT SYSTEMS INC
Entity type:Organization
Organization Name:GREENFIELD MANAGEMENT SYSTEMS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE VP OF FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:AMALE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-447-2416
Mailing Address - Street 1:60 WELLS ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-2354
Mailing Address - Country:US
Mailing Address - Phone:413-774-3724
Mailing Address - Fax:413-774-7390
Practice Address - Street 1:60 WELLS ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2354
Practice Address - Country:US
Practice Address - Phone:413-774-2275
Practice Address - Fax:413-774-7390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACS-569-001261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1900595Medicaid