Fernald Developmental Center

LBN: Commonwealth Of Mass - Dds
Fernald Developmental Center is an health care organization with primary practice located at 200 Trapelo Road , Belmont MA 02452-6302. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Commonwealth Of Mass - Dds can be contacted via phone (781) 894-3600, or through Maillet, Jeanette via phone (617) 727-5608.

Contact Information

Primary practice address
200 Trapelo Road Belmont MA 02452-6302
Phone: (781) 894-3600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maillet, Jeanette
Phone: (617) 727-5608

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1306977822
LBN Legal business name Commonwealth Of Mass - Dds
DBA Doing business as Fernald Developmental Center
Authorized official Maillet, Jeanette
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Oct 1st, 2009 - about 17 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 1306977822 NPPES
Massachusetts MEDICAID 0916307

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