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Organization
YOUVILLE HOSPITAL AND REHABILITATION CENTER
Active
Organization
YOUVILLE HOSPITAL AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KELLER (VICE PRESIDENT OF FINANCE CFO)
(617) 876-4344
Entity
Organization
Contact information
Practice address
1575 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4308
(617) 876-4344
(617) 234-7913
Mailing address
1575 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4308
(617) 876-4344
(617) 234-7913
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120432
—
MA
01
—
2222200011
BLUE CROSS OUTPATIENT
MA
01
—
905170
TUFTS HEALTH PLAN OUTPT
MA
01
—
OP2200
RHODE ISLAND OUTPT.
RI
Enumeration date
03/26/2007
Last updated
08/22/2020
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