Organization
NORTHEAST HOSPITAL CORPORATION
Active
Other names
Northeast Hospital Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP CORMIER (CEO)
(978) 922-3000
Entity
Organization
Contact information
Practice address
85 HERRICK ST, BEVERLY HOSPITAL, BEVERLY, MA 01915-1776
(978) 922-3000
(978) 921-7071
Mailing address
85 HERRICK ST, BEVERLY HOSPITAL, BEVERLY, MA 01915-1776
(978) 922-3000
(978) 921-7071
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
V93D
MA
282N00000X
General Acute Care Hospital
Primary
15
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007079
—
MA
05
—
1000039
—
MA
05
—
1000039
—
MD
05
—
1202626
—
MA
01
—
2222003301
BC HMO/PHO INPAT
MA
01
—
2222003311
BC HMO/PHO OUTPAT
MA
01
—
900082
TUFTS MCR OUTPAT
MA
01
—
900385
FIRST SENIORITY
MA
01
—
901790
TUFTS PHO INPAT
MA
01
—
9343
AETNA HMO
MA
01
—
BEV2222003301
HMO BLUE INPAT
MA
01
—
BEV2222003311
HMO BLUE OUTPAT
MA
01
—
S005394
CHAMPUS
MA
Enumeration date
01/25/2006
Last updated
09/02/2016
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