Organization
OVERLOOK MASONIC HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA A JONES (CFO)
(508) 434-2412
Entity
Organization
Contact information
Practice address
88 MASONIC HOME RD, CHARLTON, MA 01507-1394
(508) 248-7344
(508) 248-7989
Mailing address
88 MASONIC HOME RD, CHARLTON, MA 01507-1394
(508) 248-7344
(508) 248-7989
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0749
MA
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0918822
—
MA
01
—
15030
FALLON COMMUNITY HEALTH
MA
01
—
1720724
MEDICAID TRANSPORTATION
MA
01
—
2222564301
BLUE CROSS BLUE SHIELD
MA
01
—
71-01273
UNITED HEALTHCARE/EVERCARE
MA
01
—
905879
HARVARD PILGRIM HEALTH CARE
MA
Enumeration date
10/20/2005
Last updated
05/01/2015
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