BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.; NPI #1164535084

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	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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

NPI # 1164535084

LBN Legal business name BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.

Authorized official JASON RADZEVICH - (V.P. OF FINANCE AND CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/16/2006

Last updated 03/23/2021 - About 5 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.

Contact Information

Specialty

Hospice Care, Community Based

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

Reviews for BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.