| Steward Carney Hospital, Inc. | |
|
2100 Dorchester Ave Dorchester Center MA 02124-5615 | |
| (617) 296-4000 | |
| (617) 562-7241 |
| Full Name | Steward Carney Hospital, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2100 Dorchester Ave, Dorchester Center, Massachusetts |
| Authorized Official Name and Position | James Renna (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6174194700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steward Carney Hospital, Inc. 2100 Dorchester Ave Dorchester Center MA 02124-5615 Ph: (617) 296-4000 | Steward Carney Hospital, Inc. 2100 Dorchester Ave Dorchester Center MA 02124-5615 Ph: (617) 296-4000 |
| NPI Number | 1609189380 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 11/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609189380 | NPI | - | NPPES |
| 110087086B | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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