St. Elizabeth's Healthcare At Hanscom Air Base | |
1609 Eglin St Hanscom Afb MA 01731-2613 | |
(617) 789-2204 | |
(617) 562-5415 |
Full Name | St. Elizabeth's Healthcare At Hanscom Air Base |
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Speciality | Clinic/center |
Location | 1609 Eglin St, Hanscom Afb, Massachusetts |
Authorized Official Name and Position | Miles Coverdale (CFO) |
Authorized Official Contact | 6177893000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Elizabeth's Healthcare At Hanscom Air Base 1609 Eglin St Hanscom Afb MA 01731-2613 Ph: (617) 789-2204 | St. Elizabeth's Healthcare At Hanscom Air Base 1609 Eglin St Hanscom Afb MA 01731-2613 Ph: (617) 789-2204 |
NPI Number | 1467524827 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467524827 | NPI | - | NPPES |
1214225 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |