STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC; NPI #1538473269

Contact Information

STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC

1609 EGLIN ST
HANSCOM AFB, MA 01731-2613

Phone: 781-274-9102
Fax: 781-274-6249
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Managed Care Organization Pharmacy	3336M0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC

NPI Number 1538473269

LBN Legal business name STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC

Authorized official JAMES GERMANO - (PHARMACY DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/05/2010

Last updated 11/19/2013 - About 13 years ago

Identifiers

MA	License #	MA0058861
	Other	2128072	PK

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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