| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |