| Bridgewell | |
|
162 Boston St Lynn MA 01904-3133 | |
| (339) 883-1700 | |
| Not Available |
| Full Name | Bridgewell |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 162 Boston St, Lynn, Massachusetts |
| Authorized Official Name and Position | Lynn-marie Lewis (BILLING MANAGER) |
| Authorized Official Contact | 3398832166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgewell 471 Broadway Lynnfield MA 01940 Ph: (339) 883-2166 | Bridgewell 162 Boston St Lynn MA 01904-3133 Ph: (339) 883-1700 |
| NPI Number | 1336292887 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336292887 | NPI | - | NPPES |
| 1312022 | Medicaid | MA | |
| 1312049 | Medicaid | MA | |
| 1308599 | Medicaid | MA | |
| 1307673 | Medicaid | MA | |
| 1308572 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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