Thomas Upham House

LBN: 519 Main St., Inc.
Thomas Upham House is an health care organization with primary practice located at 519 Main St , Medfield MA 02052-2522. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 519 Main St., Inc. can be contacted via phone (508) 359-6050, or through Thisse, Peter H. via phone (781) 762-0703.

Contact Information

Primary practice address
519 Main St Medfield MA 02052-2522
Phone: (508) 359-6050
Fax: (508) 359-7654
Website:
Map and Directions
Authorized official contact:
Name: Thisse, Peter H.
Phone: (781) 762-0703

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0400 Massachusetts

Profile Details

NPI number 1710048525
LBN Legal business name 519 Main St., Inc.
DBA Doing business as Thomas Upham House
Authorized official Thisse, Peter H.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Dec 16th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710048525 NPPES
Massachusetts MEDICAID 0916986
Massachusetts Other 0692760001

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