1760453328 NPI number — UHS OF WESTWOOD PEMBROKE INC

Table of content: (NPI 1760453328)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760453328 NPI number — UHS OF WESTWOOD PEMBROKE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UHS OF WESTWOOD PEMBROKE INC
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:
1760453328
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/07/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
45 CLAPBOARDTREE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTWOOD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02090-2903
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-762-7764
Provider Business Mailing Address Fax Number:
781-255-8802

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45 CLAPBOARDTREE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTWOOD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02090-2903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-762-7764
Provider Business Practice Location Address Fax Number:
781-255-8802
Provider Enumeration Date:
01/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FILTON
Authorized Official First Name:
STEVE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO SR VP
Authorized Official Telephone Number:
610-768-3300

Provider Taxonomy Codes

  • Taxonomy code: 283Q00000X , with the licence number:  690 , 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: 000000022619 . This is a "BOSTON MEDICAL HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1100246 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1213008 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1019150 . This is a "COMCARE FALLON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2228002810 . This is a "BLUE CROSS FEDERAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 691514 . This is a "MAGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1019080 . This is a "BEACON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1019150 . This is a "BEACON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 698809 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 70012228002701 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 22619 . This is a "COMCARE BMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 801502 . This is a "BEHAVIORAL HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2228002710 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2228002802 . This is a "BLUE CROSS FEDERAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: M16160 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 105880 . This is a "MAGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2222802701 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 782102 . This is a "COMCARE NETWORK HEALTH" identifier . This identifiers is of the category "OTHER".




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