National Provider Identifier Database

BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC
Hospice Care, Community Based

Contact Information

BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.
36 CORDAGE PARK CIR
SUITE 326
PLYMOUTH, MA  02360-7331
Phone: 508-746-0215
Fax: 508-830-3336
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.

NPI Number 1164535084
Legal business name
LBN		 BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.
Authorized official JASON RADZEVICH - (V.P. OF FINANCE AND CFO)
Entity Organization
Organization subpart No
Enumeration date 08/16/2006
Last updated 03/23/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 7221
  • MA Medicaid: 0608556
  • MA Other: 221520 BCBS MA CRANBERRY HOSPICE
  • MA Other: 000000020545 BMC HEALTHNET
  • MA Other: S012236 CHAMPUS
  • MA Other: AA50951 HPHC CRANBERRY HOSPICE
  • MA Other: 221520B MEDICARE PTAN CRANBERRY HOSPICE
  • MA Other: 819809 TUFTS CRANBERRY HOSP-2

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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