Beth Israel Deaconess Medical Center

LBN: Beth Israel Deaconess Medical Center
Beth Israel Deaconess Medical Center is an health care organization with primary practice located at 330 Brookline Ave Healthcare Associates, Shapiro 6Th Floor, Boston MA 02215-5400. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Hospitals / General Acute Care Hospital. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Beth Israel Deaconess Medical Center can be contacted via phone (617) 667-9600, or through Phillips, Russell via phone (617) 667-4916.

Contact Information

Primary practice address
330 Brookline Ave Healthcare Associates, Shapiro 6Th Floor Boston MA 02215-5400
Phone: (617) 667-9600
Fax: (617) 667-9620
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Russell Doctor of Medicine (MD)
Phone: (617) 667-4916

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 73356 Massachusetts
Hospitals / General Acute Care Hospital 282N00000X 73356 Massachusetts

Profile Details

NPI number 1205900354
LBN Legal business name Beth Israel Deaconess Medical Center
DBA Doing business as
Authorized official Phillips, Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1205900354 NPPES
Massachusetts MEDICAID 3070191

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