Organization
BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.
Active
Other names
Cranberry Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JASON M RADZEVICH (V.P. OF FINANCE AND CFO)
(508) 830-2005
Entity
Organization
Contact information
Practice address
36 CORDAGE PARK CIR, SUITE 326, PLYMOUTH, MA 02360-7331
(508) 746-0215
(508) 830-3336
Mailing address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
(508) 746-2000
(508) 830-1131
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
7221
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020545
BMC HEALTHNET
MA
05
—
0608556
—
MA
01
—
221520
BCBS MA CRANBERRY HOSPICE
MA
01
—
221520B
MEDICARE PTAN CRANBERRY HOSPICE
MA
01
—
819809
TUFTS CRANBERRY HOSP-2
MA
01
—
AA50951
HPHC CRANBERRY HOSPICE
MA
01
—
S012236
CHAMPUS
MA
Enumeration date
08/16/2006
Last updated
03/23/2021
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