Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc

LBN: Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc is an health care organization with primary practice located at 330 Brookline Ave , Boston MA 02215. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc can be contacted via phone (617) 754-2339, or through Kimball, Alexandra Boer via phone (617) 632-7441.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215
Fax:
Website:
Authorized official contact:
Name: Kimball, Alexandra Boer Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X

Profile Details

NPI number 1508963901
LBN Legal business name Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
DBA Doing business as
Authorized official Kimball, Alexandra Boer Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 15th, 2018 - about 7 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 1508963901 NPPES
Massachusetts MEDICAID 9753419

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