1992737761 NPI number — NEWTON-WELLESLEY HOSPITAL

Table of content: (NPI 1992737761)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992737761 NPI number — NEWTON-WELLESLEY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEWTON-WELLESLEY HOSPITAL
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:
Provider Other Organization Name Type Code:
6
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:
1992737761
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2014 WASHINGTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02462-1607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-243-6000
Provider Business Mailing Address Fax Number:
617-243-6954

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2014 WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02462-1607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-243-6000
Provider Business Practice Location Address Fax Number:
617-243-6954
Provider Enumeration Date:
07/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCDERMOTT
Authorized Official First Name:
VINCENT
Authorized Official Middle Name:
Authorized Official Title or Position:
SENIOR VP OF FINANCE/CFO
Authorized Official Telephone Number:
617-243-6381

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 273R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 2075 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1002252 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 737275 . This is a "TUFTS PROF CORP 01" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 900042 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M18312 . This is a "BC - PSYCH CORP 01" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 70012222010101 . This is a "BC - IP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 70012222010108 . This is a "BC ACUTE HOSPITAL" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 70012222020118 . This is a "BC ACUTE HOSPITAL" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M17582 . This is a "BC FULL TIME CORP 01" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0007106 . This is a "NHP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3024155 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3071991 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 70012222010130 . This is a "BC - SURGICAL DAY CENTER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M18144 . This is a "BC - PART TIME CORP 01" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000021988 . This is a "BOSTON HEALTH NET" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 70012222010110 . This is a "BC - OP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 9013971 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1201433 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 220101 . This is a "OSCAR" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 70012222010138 . This is a "BC - SURGICAL DAY CENTER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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