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Contact Information

BOSTON MEDICAL CENTER CORPORATION
41 TEED DR
RANDOLPH, MA02368-4201
 Phone: 781-805-8220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BOSTON MEDICAL CENTER CORPORATION

NPI # 1083141659
LBN Legal business name BOSTON MEDICAL CENTER CORPORATION
Authorized official ANTHONY HOLLENBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2017
Last updated 10/10/2025 - About 8 months ago
Identifiers
MA Medicaid 110092155K
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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