THE COMMONWEALTH OF MASSACHUSETTS; NPI #1124109053

Contact Information

THE COMMONWEALTH OF MASSACHUSETTS

3 RANDOLPH ST.
CANTON, MA 02021-0317

Phone: 781-828-2440
Fax: 781-821-4086
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Children	281PC2000X
Public Health, State or Local	261QP0905X

Indicates primary specialty

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NPI Profile & details for THE COMMONWEALTH OF MASSACHUSETTS

NPI Number 1124109053

LBN Legal business name THE COMMONWEALTH OF MASSACHUSETTS

Authorized official VALENDA LIPTAK - (BUREAU DIRECTOR, PUBLIC HEALTH HOS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/18/2006

Last updated 03/28/2022 - About 4 years ago

Identifiers

MA	Medicaid	110078194E
MA	Medicaid	1203371

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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