Organization
THE GENERAL HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY MASON BOEMER (EVP)
(617) 724-4537
Entity
Organization
Contact information
Practice address
55 FRUIT ST, BULFINCH 360, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
399 REVOLUTION DR, ASSEMBLY ROW 5 EAST 29-09, SOMERVILLE, MA 02145-1446
(857) 282-7317
(617) 726-6989
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006777
NHP CHARLESTOWN HEALTHCEN
MA
01
—
0007056
NHP IP
MA
01
—
0007123
NHP OP
MA
05
—
1001205
—
MA
05
—
1202154
—
MA
05
—
1202189
—
MA
05
—
1202197
—
MA
05
—
1202685
—
MA
05
—
1213997
—
MA
01
—
2222007101
BCBS IP
MA
01
—
2222007110
BCBS OP
MA
01
—
2222007116
BCBS HEALTHCENTERS
MA
01
—
2222007130
BCBS SDC
MA
01
—
900017
TAHP IP
MA
01
—
900043
HARVARD PILGRIM HEALTH CA
MA
01
—
900166
TAHP OP
MA
Enumeration date
07/05/2006
Last updated
05/03/2022
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