Melrosewakefield Healthcare, Inc. | |
170 Governors Ave Medford MA 02155-1643 | |
(781) 979-3050 | |
Not Available |
Full Name | Melrosewakefield Healthcare, Inc. |
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Speciality | Psychiatric Unit |
Location | 170 Governors Ave, Medford, Massachusetts |
Authorized Official Name and Position | Susan Green (EVP CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 9787887143 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Melrosewakefield Healthcare, Inc. 170 Governors Ave Medford MA 02155-1643 Ph: () - | Melrosewakefield Healthcare, Inc. 170 Governors Ave Medford MA 02155-1643 Ph: (781) 979-3050 |
NPI Number | 1891835351 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 03/14/2023 |
Certification Date | 03/14/2023 |
Medicare PECOS PAC ID | 8224935838 |
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Medicare Enrollment ID | O20170315001487 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891835351 | NPI | - | NPPES |
1004215 | Other | MA | NEIGHBORHOOD PSYCH INPAT |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | VKB3 (Massachusetts) | Primary |
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