Organization
CARITAS ST ELIZABETH'S MEDICAL CENTER-PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILES CONVERDALE (AUTHORIZED OFFICER)
(617) 789-5173
Entity
Organization
Contact information
Practice address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 562-5460
Mailing address
77 WARREN STREET-PROVIDER ENROLLMENT DEPT, BRIGHTON, MA 02135
(617) 562-5482
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1201719
—
MA
Enumeration date
12/01/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us