| Northeast Hospital Corporation | |
|
85 Herrick St Beverly Hospital Beverly MA 01915-1776 | |
| (978) 922-3000 | |
| (978) 921-7071 |
| Full Name | Northeast Hospital Corporation |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 85 Herrick St, Beverly, Massachusetts |
| Authorized Official Name and Position | Philip Cormier (CEO) |
| Authorized Official Contact | 9789223000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Hospital Corporation 85 Herrick St Beverly Hospital Beverly MA 01915-1776 Ph: (978) 922-3000 | Northeast Hospital Corporation 85 Herrick St Beverly Hospital Beverly MA 01915-1776 Ph: (978) 922-3000 |
| NPI Number | 1316917941 |
|---|---|
| Provider Enumeration Date | 01/25/2006 |
| Last Update Date | 09/02/2016 |
| Medicare PECOS PAC ID | 1153213202 |
|---|---|
| Medicare Enrollment ID | O20061205000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316917941 | NPI | - | NPPES |
| 1000039 | Medicaid | MA | |
| 2222003301 | Other | MA | BC HMO/PHO INPAT |
| 901790 | Other | MA | TUFTS PHO INPAT |
| 9343 | Other | MA | AETNA HMO |
| BEV2222003301 | Other | MA | HMO BLUE INPAT |
| S005394 | Other | MA | CHAMPUS |
| 2222003311 | Other | MA | BC HMO/PHO OUTPAT |
| 901790 | Other | MA | TUFTS MCR INPAT |
| 0007079 | Medicaid | MA | |
| 2222003301 | Other | MA | BC INDEM INPAT |
| 900385 | Other | MA | FIRST SENIORITY |
| 1202626 | Medicaid | MA | |
| 2222003311 | Other | MA | BC INDEM OUTPAT |
| 900082 | Other | MA | TUFTS MCR OUTPAT |
| 1000039 | Medicaid | MD | |
| 900082 | Other | MA | TUFTS PHO OUTPAT |
| 900385 | Other | MA | HARVARD PILGRIM HMO |
| BEV2222003311 | Other | MA | HMO BLUE OUTPAT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | V93D (Massachusetts) | Secondary |
| 282N00000X | General Acute Care Hospital | 15 (Massachusetts) | Primary |
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