Organization
YOUVILLE HOSPITAL AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KELLER (VICE PRESIDENT CFO)
(617) 876-4344
Entity
Organization
Contact information
Practice address
1575 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4308
(617) 876-4344
(617) 234-7900
Mailing address
1575 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4308
(617) 876-4344
(617) 234-7900
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2222200004
BLUE CROSS MEDEX ONCOLOGY
MA
Enumeration date
03/26/2007
Last updated
08/22/2020
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