Yes
| DSH220016A | Child | DSH | BAYSTATE FRANKLIN MEDICAL CENTER | Wound Care / Hyperbaric Medicine Center Greenfield | 48 Sanderson St | Greenfield | MA | Active |
| DSH220016B | Child | DSH | BAYSTATE FRANKLIN MEDICAL CENTER | Behavioral Health Adult Partial Hospitalization Program | 157 High Street | Greenfield | MA | Active |
| DSH220016C | Child | DSH | BAYSTATE FRANKLIN MEDICAL CENTER | Baystate Sleep Medicine Greenfield - Sleep Medicine | 48 Sanderson Street | Greenfield | MA | Active |
| DSH220016D | Child | DSH | BAYSTATE FRANKLIN MEDICAL CENTER | Baystate Midwifery, OBGYN, & Urogynecology Greenfield - Midwifery, OBGYN, Urogynecology | 48 Sanderson Street | Greenfield | MA | Active |
| DSH220016E | Child | DSH | BAYSTATE FRANKLIN MEDICAL CENTER | Baystate Surgery & Infectious Disease Greenfield - General Surgery & Infectious Disease | 48 Sanderson Street | Greenfield | MA | Active |
| DSH220016F | Child | DSH | BAYSTATE FRANKLIN MEDICAL CENTER | Baystate Plastic Surgery Greenfield - Surgery | 48 Sanderson Street | Greenfield | MA | Active |
| DSH220016G | Child | DSH | BAYSTATE FRANKLIN MEDICAL CENTER | Baystate Breast Specialists Greenfield - Breast Specialists | 48 Sanderson Street | Greenfield | MA | Active |
| DSH220016H | Child | DSH | BAYSTATE FRANKLIN MEDICAL CENTER | Baystate Gastroenterology Greenfield - Gastroenterology | 48 Sanderson Street | Greenfield | MA | Active |
| DSH220016J | Child | DSH | BAYSTATE FRANKLIN MEDICAL CENTER | Baystate Family Medicine Greenfield - Family Medicine | 48 Sanderson Street | Greenfield | MA | Active |
| DSH220016K | Child | DSH | BAYSTATE FRANKLIN MEDICAL CENTER | Baystate Urology Greenfield - Urology | 48 Sanderson Street | Greenfield | MA | Active |
| DSH220016L | Child | DSH | BAYSTATE FRANKLIN MEDICAL CENTER | Baystate Neurology Greenfield - Neurology | 48 Sanderson Street | Greenfield | MA | Active |
| DSH220016M | Child | DSH | BAYSTATE FRANKLIN MEDICAL CENTER | Baystate Integrated Behavioral Health Greenfield - Behavioral Health | 48 Sanderson Street | Greenfield | MA | Active |
| Contacts | Authorizing Official | Update | Change Request | McCarthy, Raymond P
SVP, Chief Financial Officer & Treasurer
Baystate Health
4137943290 | Martin, Laurie
CFO
Baystate Health
4137942578 | 6/4/2025 8:56 AM |
| Details | Last Recertification Date | Update | Recertification | | 8/12/2024 11:10:01 AM | 8/12/2024 11:10 AM |
| Details | State | Update | | Approved | Active | 7/1/2024 12:01 AM |
| Contacts | Signed By | Insert | New Registration | | McCarthy, Raymond P
SVP, Chief Financial Officer & Treasurer
Baystate Health
4137943290 | 5/6/2024 7:37 AM |
| Details | 340B ID | Update | New Registration | | DSH220016K | 5/6/2024 7:37 AM |
| Details | Entity Subname | Update | New Registration | Baystate Urology Greenfield | Baystate Urology Greenfield - Urology | 5/6/2024 7:37 AM |
| Dates | Participating Approval Date | Update | New Registration | | 5/6/2024 7:37:48 AM | 5/6/2024 7:37 AM |
| Details | State | Update | New Registration | Pending | Approved | 5/6/2024 7:37 AM |
| Dates | Signed By Date | Update | New Registration | | 4/11/2024 8:49:18 AM | 5/6/2024 7:37 AM |
| Dates | Start Date | Update | New Registration | | 7/1/2024 12:00:00 AM | 5/6/2024 7:37 AM |
| Addresses | Main Address | Insert | New Registration | |
48 Sanderson Street
102
Greenfield, MA 01301 | 4/11/2024 8:26 AM |
| Medicaid Billing | Medicaid: Is Primary | Insert | New Registration | | False | 4/11/2024 8:26 AM |
| Medicaid Billing | Medicaid: Number | Insert | New Registration | | 110024350C | 4/11/2024 8:26 AM |
| Medicaid Billing | Medicaid: State | Insert | New Registration | | MA | 4/11/2024 8:26 AM |
| Medicaid Billing | NPI: Number | Insert | New Registration | | 1508867391 | 4/11/2024 8:26 AM |
| Medicaid Billing | NPI: State | Insert | New Registration | | MA | 4/11/2024 8:26 AM |
| Contacts | Authorizing Official | Insert | New Registration | | McCarthy, Raymond P
SVP, Chief Financial Officer & Treasurer
Baystate Health
4137943290 | 4/11/2024 8:26 AM |
| Contacts | Primary Contact | Insert | New Registration | | Cruz, Nancy
Pharmacy Compliance Manager
Baystate Health
4137948282 | 4/11/2024 8:26 AM |
| Details | Assistance Received From Date | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Details | Assistance Received To Date | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Details | Last Recertification Date | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Details | Grant Number | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Details | 340B ID | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Details | Medicare Provider Number | Insert | New Registration | | 220016 | 4/11/2024 8:26 AM |
| Details | Entity Name | Insert | New Registration | | BAYSTATE FRANKLIN MEDICAL CENTER | 4/11/2024 8:26 AM |
| Details | NOFO Number | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Details | Program Code | Insert | New Registration | | DSH | 4/11/2024 8:26 AM |
| Details | Entity Subname | Insert | New Registration | | Baystate Urology Greenfield | 4/11/2024 8:26 AM |
| Dates | Participating Approval Date | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Details | State | Insert | New Registration | | Pending | 4/11/2024 8:26 AM |
| Dates | Registration Date | Insert | New Registration | | 4/11/2024 8:26:15 AM | 4/11/2024 8:26 AM |
| Dates | Signed By Date | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Dates | Start Date | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Terminations | Termination Comments | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Terminations | Termination Date | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 4/11/2024 8:26 AM |
| Terminations | Termination Reason | Insert | New Registration | | | 4/11/2024 8:26 AM |