THE COMMONWEALTH OF MASSACHUSETTS; NPI #1275612103

Contact Information

THE COMMONWEALTH OF MASSACHUSETTS

170 MORTON STREET
JAMAICA PLAIN, MA 02130-3735

Phone: 617-522-8110
Fax: 617-971-3850
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Long Term Care Hospital	282E00000X	A0[7]	Hospital-Long-Term (PPS excluded)
Chronic Disease Hospital	281P00000X
Public Health, State or Local	261QP0905X

Indicates primary specialty

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NPI Profile & details for THE COMMONWEALTH OF MASSACHUSETTS

NPI # 1275612103

LBN Legal business name THE COMMONWEALTH OF MASSACHUSETTS

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

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/02/2006

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

Identifiers

MA	Medicaid	110078189D
MA	Medicaid	1201018

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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