Organization
MOUNT AUBURN HOSPITAL
Active
Other names
Mount Auburn Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH (CFO)
(405) 245-6238
Entity
Organization
Contact information
Practice address
1 ARSENAL MARKET PL, WATERTOWN, MA 02472-5018
(617) 673-1700
Mailing address
1 ARSENAL MARKET PL, WATERTOWN, MA 02472-5018
(617) 673-1700
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2898
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0607436
—
MA
01
—
120023
BX PROVIDER #
MA
01
—
702015
HPHC PROVIDER #
MA
01
—
803064
TUFTS / SECURE PROVIDER #
MA
Enumeration date
12/01/2005
Last updated
05/05/2024
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