COMMONWEALTH OF MASSACHUSETTS; NPI #1902240047

Contact Information

COMMONWEALTH OF MASSACHUSETTS

101 ACADEMY DR
HEALTH SERVICES
BUZZARDS BAY, MA 02532-3405

Phone: 508-830-5048
Fax: 508-830-5004
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for COMMONWEALTH OF MASSACHUSETTS

NPI Number	`1902240047`
LBN Legal business name	COMMONWEALTH OF MASSACHUSETTS
Authorized official	JEFFREY CUKOR - (DIRECTOR, HEALTH SERVICES)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/19/2013
Last updated	04/19/2013 - About 13 years ago
Identifiers	n/a

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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