Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Parent organization
THE COMMONWEALTH OF MASSACHUSETTS
Other names
Tewksbury Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
VALENDA LIPTAK (BUREAU DIRECTOR, PUBLIC HEALTH HOSP)
(413) 784-9186
Entity
Organization
Contact information
Practice address
365 EAST STREET, TEWKSBURY, MA 01876-1950
(978) 851-7321
(978) 851-5648
Mailing address
365 EAST STREET, TEWKSBURY, MA 01876-1950
(978) 851-7321
(978) 851-5648
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
—
—
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110078185A
—
MA
05
—
1101862
—
MA
Enumeration date
10/06/2006
Last updated
03/29/2022
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