Organization
MELROSEWAKEFIELD HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GREEN (EVP CHIEF FINANCIAL OFFICER)
(787) 887-1439
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
282N00000X
General Acute Care Hospital
Primary
VKB3
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018036
NHP ALL
MA
01
—
0018183
NHP FHC
MA
05
—
1000403
—
MA
01
—
1004805
NHP PSYCH OP
MA
05
—
1200992
—
MA
05
—
1211382
—
MA
05
—
1903241
—
MA
01
—
2222007001
BC INPATIENT
MA
01
—
2222007010
BC OUTPATIENT
MA
01
—
2222007030
BC SDC
MA
01
—
900005
TUFTS LAWRENCE OUTPATIENT
MA
01
—
900012
TUFTS LAWRENCE INPATIENT
MA
01
—
900147
HP LAWRENCE ALL
MA
01
—
900262
HP MELROSE ALL
MA
01
—
900348
HP MALDEN
MA
01
—
905173
TUFTS MELROSE INPATIENT
MA
01
—
905174
TUFTS MELROSE OUTPATIENT
MA
01
—
905178
TUFTS MALDEN AND FHC
MA
01
—
996129
NETWORK ALL
MA
Enumeration date
07/26/2005
Last updated
07/10/2023
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