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Contact Information

4499 ACUSHNET AVENUE OPERATING COMPANY, LLC
4499 ACUSHNET AVE
NEW BEDFORD, MA02745-4707
 Phone: 508-995-6900
 Fax: 508-985-9615
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
Indicates primary specialty

NPI Profile & details for 4499 ACUSHNET AVENUE OPERATING COMPANY, LLC

NPI Number 1164477055
LBN Legal business name 4499 ACUSHNET AVENUE OPERATING COMPANY, LLC
Authorized official BRAD HOLLINGER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2006
Last updated 12/08/2017 - About 8 years ago
Identifiers
MA License # 079
MA Medicaid 1100548
MA Medicaid 1100556
MA Medicaid 1213393
MA Other 2222204310 BLUE CROSS (OUTPATIENT)
MA Other 2222204301 BLUE CROSS INPATIENT
MA Other 903949 HARVARD PILGRIM
MA Other 982810 TUFTS INPATIENT
MA Other 982813 TUFTS OUTPATIENT
MA Other 5000016 UNITED HEALTH
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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