Organization
HALLMARK HEALTH SYSTEM INC
Active
Parent organization
HALLMARK HEALTH CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
HALLMARK HEALTH CORPORATION
Authorized official
CHARLES WHIPPLE (GENERAL COUNSEL)
(781) 338-7350
Entity
Organization
Contact information
Practice address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(781) 979-3050
Mailing address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M16414
BC PROFESSIONAL GROUP
MA
Enumeration date
02/07/2007
Last updated
09/29/2020
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