Organization
MOUNT AUBURN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH (CFO)
(405) 245-6238
Entity
Organization
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 492-3500
(617) 499-5422
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 492-3500
(617) 499-5422
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
2898
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007057
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0012149
AETNA/US HEALTHCARE
MA
01
—
1002150
BEACON HEALTH-OUTPATIENT
MA
01
—
245718
MAGELLAN/MA MERIT CLAIMS
MA
01
—
50-40078
UNITED HEALTHCARE
MA
01
—
900037
TUFTS ASSC HLTH PL. INPAT
MA
01
—
900749
TUFTS ASSC HLTH PL-OUTPAT
MA
01
—
996324
NETWORK HEALTH PLAN
MA
01
—
MOU2222000230
BLUE X MASTER MEDICAL
MA
Enumeration date
12/05/2005
Last updated
05/05/2024
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