| Melrosewakefield Healthcare, Inc. | |
|
170 Governors Ave Medford MA 02155-1643 | |
| (781) 979-3050 | |
| Not Available |
| Full Name | Melrosewakefield Healthcare, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Medicare PECOS PAC ID | 8224935838 |
|---|---|
| Medicare Enrollment ID | O20170315001487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891835351 | NPI | - | NPPES |
| 1004215 | Other | MA | NEIGHBORHOOD PSYCH INPAT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | VKB3 (Massachusetts) | Primary |
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