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Contact Information

DERIVIERE MEDICAL CORPORATION
156 HIGHLAND AVE
SOMERVILLE, MA02143-1534
 Phone: 617-623-1732
 Fax: 617-628-0753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Case Management

251B00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for DERIVIERE MEDICAL CORPORATION

NPI # 1841433091
LBN Legal business name DERIVIERE MEDICAL CORPORATION
Authorized official WICHNITE DERIVIERE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2009
Last updated 04/16/2009 - About 17 years ago
Identifiers
MA License # 202190
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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