Ma Department Of Youth Services

LBN: Ma Department Of Youth Services
Ma Department Of Youth Services is an health care organization with primary practice located at 27 Wormwood Street Suite 400, Boston MA 02210. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Ma Department Of Youth Services can be contacted via phone (617) 727-7575, or through Egan, Kim via phone (617) 960-3258.

Contact Information

Primary practice address
27 Wormwood Street Suite 400 Boston MA 02210
Phone: (617) 727-7575
Fax: (617) 951-2409
Website:
Map and Directions
Authorized official contact:
Name: Egan, Kim
Phone: (617) 960-3258

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1003038365
LBN Legal business name Ma Department Of Youth Services
DBA Doing business as
Authorized official Egan, Kim
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Oct 23rd, 2007 - 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 1003038365 NPPES
Massachusetts MEDICAID 1803867

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