# BOSTON VA HEALTHCARE SYSTEM

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

## Provider details

- **NPI number:** 1508263369
- **Authorized official:** DONNA WELLS (HUMAN RESOURCES)
- **Authorized official phone:** (774) 826-1257

## Contact information

- **Practice address:** 940 BELMONT ST, BOSTON HEALTHCARE SYSTEM, BROCKTON, MA 02301
- **Practice address phone:** (774) 826-1257
- **Mailing address:** 940 BELMONT ST, BOSTON HEALTHCARE SYSTEM, BROCKTON, MA 02301
- **Mailing address phone:** (774) 826-1257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | A | MA | — |
| 286500000X | Military Hospital | A | MA | Yes |
| 2865M2000X | Military General Acute Care Hospital | A | MA | — |
| 2865X1600X | Operational (Transportable) Military General Acute Care Hospital | A | MA | — |
| 314000000X | Skilled Nursing Facility | A | MA | — |

## Other

- **Enumeration date:** 11/21/2014
- **Last updated:** 07/21/2022