Massachusetts General Hospital Revere Healthcare Center
Clinic/Center, Mental Health (Including Community Mental Health Center) in Revere, Massachusetts
1871715151- Practice location
- 300 Ocean Ave, Revere, MA 02151-3675
- Phone
- 617-510-9458
- Fax
- 781-485-6119
- Last updated
- August 22, 2020
Massachusetts General Hospital Revere Healthcare Center is a healthcare organization based in Revere, MA. Massachusetts General Hospital Revere Healthcare Center practices in Revere, MA. The NPI Number for Massachusetts General Hospital Revere Healthcare Center is 1871715151 and holds a License No. 111447 (MA). The current practice location address for Massachusetts General Hospital Revere Healthcare Center is 300 Ocean Ave, Revere, MA 02151-3675 and can be reached out via phone at 617-510-9458 and via fax at 781-485-6119.
Provider Profile Details
- NPI Number
- 1871715151
- Provider Name
- Massachusetts General Hospital Revere Healthcare Center
- Provider Entity Type
- Organization
- Address
- 300 Ocean Ave, Revere, MA 02151-3675
- Phone Number
- 617-510-9458
- Fax Number
- 781-485-6119
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Mrs. Marykate P Shorter, LICSW · Social Worker · 781-485-6112
- Provider Enumeration Date
- May 3, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Ocean Ave
Revere, MA 02151-3675 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-3675
- Phone Number
- 617-510-9458
- Fax Number
- 781-485-6119
Provider Business Mailing Address Details
- Address
- 416 Marlborough St
#708
Boston, MA 02115-1544 - City
- Boston
- State
- MA
- Zip
- 02115-1544
- Phone Number
- 617-510-9458
- Fax Number
- 781-485-6119
License Information
- License Number
- 111447
- License State
- MA
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers near Revere, MA
View all Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Revere →- Kamila De La CruzRegistered Nurse · NPI 1740180314
- Erick Rys, RN283722Nurse Practitioner, Psych/Mental Health · NPI 1336046218
- Walgreen Co.Pharmacy · NPI 1326053513
- Leena MarsanCase Manager/Care Coordinator · NPI 1750280996
- Dounia BouzidiTechnician, Pathology, Phlebotomy · NPI 1942108949
- Bianca M May FreitasPhysician Assistant · NPI 1376441576
Frequently Asked Questions
What is the NPI number of Massachusetts General Hospital Revere Healthcare Center?
The NPI number of Massachusetts General Hospital Revere Healthcare Center is 1871715151. It was assigned on May 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Massachusetts General Hospital Revere Healthcare Center?
Massachusetts General Hospital Revere Healthcare Center is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X), licensed in MA under license number 111447.
Where does Massachusetts General Hospital Revere Healthcare Center practice?
The practice location is 300 Ocean Ave, Revere, MA 02151-3675. The office can be reached at 617-510-9458 (phone) or 781-485-6119 (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 1871715151 directly on the NPPES registry website.