1265489736 NPI number — REHABILITATION HOSPITAL OF THE CAPE AND ISLANDS, CORPORATION

Table of content: (NPI 1265489736)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265489736 NPI number — REHABILITATION HOSPITAL OF THE CAPE AND ISLANDS, CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REHABILITATION HOSPITAL OF THE CAPE AND ISLANDS, CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SPAULDING REHABILITATION HOSPITAL CAPE COD
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265489736
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/17/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
311 SERVICE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
E SANDWICH
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02537-1370
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-833-4000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
311 SERVICE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
E SANDWICH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02537-1370
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-833-4000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
REED
Authorized Official First Name:
CLAUDIA
Authorized Official Middle Name:
Authorized Official Title or Position:
INTERIM CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
857-282-0722

Provider Taxonomy Codes

  • Taxonomy code: 282E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 283X00000X , with the licence number: 2FXY , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 284300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1210718 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2222303210 . This is a "BCBSMA OP ID" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 222303201 . This is a "BCBSMA IP ID" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 905347 . This is a "HPHC ID" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1103113 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 904506 . This is a "TUFT HEALTH PLAN OP ID" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 904505 . This is a "TUFTS HEALTH PLAN IP ID" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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