# BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043299001
- **Authorized official:** JASON M RADZEVICH (V.P. OF FINANCE AND CFO)
- **Authorized official phone:** (508) 830-2005

## Contact information

- **Practice address:** 275 SANDWICH ST, PLYMOUTH, MA 02360-2183
- **Practice address phone:** (508) 746-2000
- **Practice address fax:** (508) 830-1131
- **Mailing address:** 275 SANDWICH ST, PLYMOUTH, MA 02360-2183
- **Mailing address phone:** (508) 746-2000
- **Mailing address fax:** (508) 830-1131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 2082 | MA | Yes |

## Other

- **Enumeration date:** 01/10/2006
- **Last updated:** 03/23/2021