Organization
NORTHEAST HOSPITAL CORPORATION
Active
Other names
Beverly Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENIS S CONROY (CEO)
(978) 922-3000
Entity
Organization
Contact information
Practice address
85 HERRICK STREET, BEVERLY, MA 01915
(978) 922-3000
(978) 921-7048
Mailing address
85 HERRICK STREET, MEDICAL STAFF OFFICE, BEVERLY, MA 01915
(978) 922-3000
(978) 921-7048
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
15
MA
273R00000X
Psychiatric Hospital Unit
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007079
NHP PSYCH
MA
05
—
1000039
—
MA
05
—
1202626
—
MA
05
—
1898639
—
MA
01
—
2222003301
BC HMO/PHO PSYCH IP
MA
01
—
2222003306
BC INDEM IP PSYCH
MD
01
—
2222003311
BC HMO/PHO PSYCH OP
MA
01
—
2222003325
BC OUTPAT INDEM PSYCH
MA
01
—
900082
TUFTS MCR HMO OUTPAT
MA
01
—
901790
TUFTS IP PSYCH
MA
01
—
903159
HARVARD PILGRIM PSYCH
MA
01
—
9343
AETNA HMO PSYCH
MA
01
—
BEV2222003301
HMO BLUE PSYCH IP
MD
01
—
BEV2222003311
HMO BLUE PSYCH OP
MA
01
—
S005394
CHAMPUS
MD
Enumeration date
01/27/2006
Last updated
11/12/2014
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