1033199732 NPI number — WINCHESTER HOSPITAL

Table of content: ALLISON PAIGE KREIDT B.S. (NPI 1376161430)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033199732 NPI number — WINCHESTER HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WINCHESTER 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:
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:
1033199732
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 W CUMMINGS PARK
Provider Second Line Business Mailing Address:
SUITE 5000
Provider Business Mailing Address City Name:
WOBURN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01801-6372
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-756-2488
Provider Business Mailing Address Fax Number:
781-756-2489

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 W CUMMINGS PARK
Provider Second Line Business Practice Location Address:
SUITE 5000
Provider Business Practice Location Address City Name:
WOBURN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01801-6372
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-756-2488
Provider Business Practice Location Address Fax Number:
781-756-2489
Provider Enumeration Date:
01/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KEANEY
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
781-756-2482

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0606324 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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