Vendor

LBN: Vidade Corporation
Vendor is an health care organization with primary practice located at 1960 Washington St 1960, Boston MA 02118-3219. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Managed Care Organizations / Preferred Provider Organization. Agencies / Community/Behavioral Health is the primary health care specialty. Vidade Corporation can be contacted via phone (617) 516-0280, or through Rateau, Vidade M via phone (857) 753-9760.

Contact Information

Primary practice address
1960 Washington St 1960 Boston MA 02118-3219
Phone: (617) 516-0280
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rateau, Vidade M
Phone: (857) 753-9760

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1558503342
LBN Legal business name Vidade Corporation
DBA Doing business as Vendor
Authorized official Rateau, Vidade M
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 25th, 2009
Last updated Mar 25th, 2009 - about 15 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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