Medford Healthcare Group, Llc

LBN: Medford Healthcare Group, Llc
Medford Healthcare Group, Llc is an health care organization with primary practice located at 300 Winthrop St , Medford MA 02155-2311. 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. Medford Healthcare Group, Llc can be contacted via phone (781) 396-4400, or through Weisberg, William I via phone (216) 292-5706.

Contact Information

Primary practice address
300 Winthrop St Medford MA 02155-2311
Phone: (781) 396-4400
Fax: (781) 396-8348
Website:
Map and Directions
Authorized official contact:
Name: Weisberg, William I
Phone: (216) 292-5706

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0842 Massachusetts

Profile Details

NPI number 1013216738
LBN Legal business name Medford Healthcare Group, Llc
DBA Doing business as
Authorized official Weisberg, William I
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 21st, 2011
Last updated Mar 15th, 2012 - about 13 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 1013216738 NPPES
Massachusetts MEDICAID 110090142A

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