| Beth Israel Deaconess Hospital Plymouth, Inc. | |
|
275 Sandwich St Plymouth MA 02360-2183 | |
| (508) 746-2000 | |
| (508) 830-1131 |
| Full Name | Beth Israel Deaconess Hospital Plymouth, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 275 Sandwich St, Plymouth, Massachusetts |
| Authorized Official Name and Position | Jason M Radzevich (V.P. OF FINANCE AND CFO) |
| Authorized Official Contact | 5088302005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Israel Deaconess Hospital Plymouth, Inc. 275 Sandwich St Plymouth MA 02360-2183 Ph: (508) 746-2000 | Beth Israel Deaconess Hospital Plymouth, Inc. 275 Sandwich St Plymouth MA 02360-2183 Ph: (508) 746-2000 |
| NPI Number | 1023284924 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/23/2021 |
| Medicare PECOS PAC ID | 8224947536 |
|---|---|
| Medicare Enrollment ID | O20080722000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023284924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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