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ST. ELIZABETH'S HEALTHCARE AT HANSCOM AIR BASE NPI 1467524827


NPI Information

NPI: 1467524827
Provider Name: ST. ELIZABETH'S HEALTHCARE AT HANSCOM AIR BASE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1609 EGLIN ST
HANSCOM AFB, MA
ZIP 01731
Phone: (617) 789-2204
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ST. ELIZABETH'S HEALTHCARE AT HANSCOM AIR BASE is a clinic center in Hanscom Afb, MA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ST. ELIZABETH'S HEALTHCARE AT HANSCOM AIR BASE NPI is 1467524827. The provider is registered as an organization entity type.

The provider's business location address is:

1609 EGLIN ST
HANSCOM AFB, MA
ZIP 01731-613
Phone: (617) 789-2204
Fax: (617) 562-5415

The provider's authorized official is Miles Coverdale .
The authorized official title is Cfo and has the following contact phone number (617) 789-3000.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11214225MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.