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Contact Information

ALLIANCE HEALTH OF MARBLEHEAD, INC.
39 LAFAYETTE ST
MARBLEHEAD, MA01945
 Phone: 781-631-6120
 Fax: 781-631-6122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for ALLIANCE HEALTH OF MARBLEHEAD, INC.

NPI # 1750368536
LBN Legal business name ALLIANCE HEALTH OF MARBLEHEAD, INC.
Authorized official PAUL KEMP - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2005
Last updated 08/06/2018 - About 8 years ago
Identifiers
MA License # 0290
MA Medicaid 110132190A
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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