| St. Elizabeth's Medical Center Psychiatric Unit | |
|
736 Cambridge St Boston MA 02135-2907 | |
| (617) 789-3000 | |
| (617) 562-7241 |
| Full Name | St. Elizabeth's Medical Center Psychiatric Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 736 Cambridge St, Boston, Massachusetts |
| Authorized Official Name and Position | James Renna (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6174194700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Elizabeth's Medical Center Psychiatric Unit 736 Cambridge St Boston MA 02135-2907 Ph: (617) 789-3000 | St. Elizabeth's Medical Center Psychiatric Unit 736 Cambridge St Boston MA 02135-2907 Ph: (617) 789-3000 |
| NPI Number | 1992018782 |
|---|---|
| Provider Enumeration Date | 07/21/2010 |
| Last Update Date | 11/09/2011 |
| Medicare PECOS PAC ID | 3476749540 |
|---|---|
| Medicare Enrollment ID | O20180705001832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992018782 | NPI | - | NPPES |
| 110087064B | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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