National Provider Identifier Database

THE COMMONWEALTH OF MASSACHUSETTS
Children


Contact Information

THE COMMONWEALTH OF MASSACHUSETTS
3 RANDOLPH ST.
CANTON, MA02021-0317
Phone: 781-828-2440
Fax: 781-821-4086
Website:
Specialty Taxonomy Code
* Children 281PC2000X

* Indicates primary specialty

NPI Profile & details for THE COMMONWEALTH OF MASSACHUSETTS

NPI Number 1992892350
Legal business name
LBN
THE COMMONWEALTH OF MASSACHUSETTS
Authorized official VALENDA LIPTAK - (BUREAU DIRECTOR, PUBLIC HEALTH HOSP)
Entity Organization
Organization subpart Yes
Enumeration date 10/06/2006
Last updated 03/29/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 110078194D
  • MA Medicaid: 1102125

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.

Reviews for THE COMMONWEALTH OF MASSACHUSETTS

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