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ELIOT COMMUNITY HUMAN SERVICES NPI 1932271632


NPI Information

NPI: 1932271632
Provider Name: ELIOT COMMUNITY HUMAN SERVICES

Former Legal Business Name: TRI-CITY MENTAL HEALTH AND RETARDATION CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
125 HARTWELL AVE
LEXINGTON, MA
ZIP 02421
Phone: (781) 861-0890
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ELIOT COMMUNITY HUMAN SERVICES is a mental health (including community mental health center) clinic center in Lexington, MA. ELIOT COMMUNITY HUMAN SERVICES NPI is 1932271632. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Tri-city Mental Health And Retardation Center.

The provider's business location address is:

125 HARTWELL AVE
LEXINGTON, MA
ZIP 02421
Phone: (781) 861-0890
Fax: (781) 861-0899

The provider's authorized official is Kate Markarian .
The authorized official title is Ceo and has the following contact phone number (781) 861-0890.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 7/30/2019.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)0730MASSACHUSETTSNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)4321MASSACHUSETTSYes

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
11304852MEDICAIDMASSACHUSETTS
2EI0M35OTHERMASSACHUSETTSBAYSTATE HEALTH EI
3FS2030290OTHERMASSACHUSETTSADMINISTAR DEFENSE SERVIC
41307908MEDICAIDMASSACHUSETTS
51800809MEDICAIDMASSACHUSETTS
61003010OTHERMASSACHUSETTSMH NHP BEACON HEALTH
7286694OTHERMASSACHUSETTSMERIT BEHAVIORAL CARE
8601959OTHERMASSACHUSETTSHARVARD PILGRIM HEALTH
9260000472OTHERMASSACHUSETTSTRAVERLERS INS. RR-MEDICA
10702286OTHERMASSACHUSETTSTUFTS ASSOC. HEALTH
11EI0032OTHERMASSACHUSETTSEI BCBSMA
121300873MEDICAIDMASSACHUSETTS
130009253OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
141310275MEDICAIDMASSACHUSETTS
1584645OTHERMASSACHUSETTSUS HEALTH CARE
16TRI2223002641OTHERMASSACHUSETTSBCBSMA

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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