| Brigham And Women's Faulkner Hospital, Inc. | |
|
1153 Centre St Boston MA 02130-3446 | |
| (617) 983-7470 | |
| (617) 983-7240 |
| Full Name | Brigham And Women's Faulkner Hospital, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1153 Centre St, Boston, Massachusetts |
| Authorized Official Name and Position | Gerard Hadley (VP OF FINANCE) |
| Authorized Official Contact | 6179837159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brigham And Women's Faulkner Hospital, Inc. 1153 Centre St Boston MA 02130-3446 Ph: (617) 983-7470 | Brigham And Women's Faulkner Hospital, Inc. 1153 Centre St Boston MA 02130-3446 Ph: (617) 983-7470 |
| NPI Number | 1033121025 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 7416985577 |
|---|---|
| Medicare Enrollment ID | O20090506000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033121025 | NPI | - | NPPES |
| 1002333 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2869 (Massachusetts) | Primary |
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