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
—
—
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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