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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 282N00000X | General Acute Care Hospital | | 2898 | MASSACHUSETTS | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1099876 | MEDICAID | MASSACHUSETTS | |
| 2 | 245718 | OTHER | MASSACHUSETTS | MAGELLAN OUTPATIENT PSYCH |
| 3 | 50-40078 | OTHER | MASSACHUSETTS | UNITED HEALTH CARE |
| 4 | 996324 | OTHER | MASSACHUSETTS | NETWORK HEALTH SERVICES |
| 5 | 2222000201 | OTHER | MASSACHUSETTS | INPAT.BLUE CROSS PROV.NUM |
| 6 | 900023 | OTHER | MASSACHUSETTS | HARVARD PILGRIM HEALTH CA |
| 7 | 1201298 | MEDICAID | MASSACHUSETTS | |
| 8 | 0012149 | OTHER | MASSACHUSETTS | AETNA/US HEALTHCARE PROV. |
| 9 | 0007057 | OTHER | MASSACHUSETTS | NEIGHBORHOOD HEALTH PLAN |
| 10 | 2222000230 | OTHER | MASSACHUSETTS | SURG.DAY CARE BLUE CROSS |
| 11 | 900749 | OTHER | MASSACHUSETTS | OUTPAT.TUFTS AFFIL. H.P. |
| 12 | 2222000205 | OTHER | MASSACHUSETTS | PSYCH BLUE CROSS PROV. NU |
| 13 | 2222000210 | OTHER | MASSACHUSETTS | OUTPAT.BLUE CROSS PROV.NU |
| 14 | 900037 | OTHER | MASSACHUSETTS | INPAT.SECURE HORIZONS PRO |
