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BAY COVE HUMAN SERVICES INC. NPI 1629528492


NPI Information

NPI: 1629528492
Provider Name: BAY COVE HUMAN SERVICES, INC.

Other Name: METHADONE TREATMENT CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
66 CANAL ST
BOSTON, MA
ZIP 02114
Phone: (617) 371-3062
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BAY COVE HUMAN SERVICES, INC. is a rehabilitation and substance use disorder clinic center in Boston, MA. BAY COVE HUMAN SERVICES, INC. NPI is 1629528492. The provider is registered as an organization entity type.
The provider Other Name Is Methadone Treatment Center.

The provider's business location address is:

66 CANAL ST
BOSTON, MA
ZIP 02114-002
Phone: (617) 371-3062

The provider's authorized official is Kerry J Ollen .
The authorized official title is Cfo, Svp Finance and has the following contact phone number (617) 371-3062.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder0635MASSACHUSETTSYes

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
1110026203BMEDICAIDMASSACHUSETTS

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

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