Active NPIOrganization

The Commonwealth Of Massachusetts

Long Term Care Hospital in Jamaica Plain, Massachusetts

NPI Number1174699458
Practice location
170 Morton Street, Jamaica Plain, MA 02130-3735
Fax
617-971-3850
Last updated
March 28, 2022

The Commonwealth Of Massachusetts is a healthcare organization based in Jamaica Plain, MA. The Commonwealth Of Massachusetts practices in Jamaica Plain, MA. The NPI Number for The Commonwealth Of Massachusetts is 1174699458. The current practice location address for The Commonwealth Of Massachusetts is 170 Morton Street, Jamaica Plain, MA 02130-3735 and can be reached out via phone at 617-522-8110 and via fax at 617-971-3850.

Provider Profile Details

NPI Number
1174699458
Provider Name
The Commonwealth Of Massachusetts
Provider Entity Type
Organization
Address
170 Morton Street, Jamaica Plain, MA 02130-3735
Phone Number
617-522-8110
Fax Number
617-971-3850
Primary Taxonomy
Long Term Care Hospital · 282E00000X
Organization Subpart
Yes
Parent Organization
The Commonwealth Of Massachusetts
Authorized Official
Valenda Liptak · Bureau Director, Public Health Hosp · 413-784-9186
Other Names
Lemuel Shattuck Hospital (Doing Business As)
Provider Enumeration Date
November 28, 2006
Last Update Date
March 28, 2022
Certification Date
March 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Morton Street
Jamaica Plain, MA 02130-3735
Zip
02130-3735
Phone Number
617-522-8110
Fax Number
617-971-3850
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
170 Morton Street
Jamaica Plain, MA 02130-3735
City
Jamaica Plain
State
MA
Zip
02130-3735
Phone Number
617-522-8110
Fax Number
617-971-3850

License Information

Taxonomy (1)
Clinic/Center, Primary Care · 261QP2300X
Taxonomy (2)
Chronic Disease Hospital · 281P00000X
Taxonomy (3)
Long Term Care Hospital · 282E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of The Commonwealth Of Massachusetts?

The NPI number of The Commonwealth Of Massachusetts is 1174699458. It was assigned on November 28, 2006 and is currently active in the NPPES registry.

What is the specialty of The Commonwealth Of Massachusetts?

The Commonwealth Of Massachusetts is registered under the primary taxonomy Long Term Care Hospital (code 282E00000X).

Where does The Commonwealth Of Massachusetts practice?

The practice location is 170 Morton Street, Jamaica Plain, MA 02130-3735. The office can be reached at 617-522-8110 (phone) or 617-971-3850 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174699458 directly on the NPPES registry website.

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