| Beth Israel Deaconess Medical Center | |
|
330 Brookline Ave Healthcare Associates, Shapiro 6th Floor Boston MA 02215-5400 | |
| (617) 667-9600 | |
| (617) 667-9620 |
| Full Name | Beth Israel Deaconess Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 330 Brookline Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Russell Phillips (DIVISION CHIEF) |
| Authorized Official Contact | 6176674916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Israel Deaconess Medical Center 330 Brookline Ave Healthcare Associates, Shapiro 6th Floor Boston MA 02215-5400 Ph: (617) 667-9600 | Beth Israel Deaconess Medical Center 330 Brookline Ave Healthcare Associates, Shapiro 6th Floor Boston MA 02215-5400 Ph: (617) 667-9600 |
| NPI Number | 1205900354 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205900354 | NPI | - | NPPES |
| 3070191 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 73356 (Massachusetts) | Primary |
| 282N00000X | General Acute Care Hospital | 73356 (Massachusetts) | Primary |
Rong J Guan, Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Kneeland St Fl 5, Boston, MA 02111 Phone: 617-290-9881 Fax: 617-350-6555 | |
Fenway Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 Boylston St, Boston, MA 02215 Phone: 617-927-4880 | |
Robert H. Wu. Md, Pc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Harrison Ave Ste 308, Boston, MA 02111 Phone: 617-338-9889 | |
Barbara Mcinnis House Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 Fax: 857-654-1100 | |
Pratt Medical Group, Inc - Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Box 1013, Boston, MA 02111 Phone: 617-636-5000 | |
Pjtrains Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Newbury St Ste 4, Boston, MA 02116 Phone: 857-205-2759 | |
Mhg Physician Services - Michigan Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Harrison Ave, Boston, MA 02118 Phone: 855-340-4663 |