Organization
CAMBRIDGE PUBLIC HEALTH COMMISSION
Active
Other names
Cambridge Health Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE M STEPHEN (INTERIM DIRECTOR MEDICAL STAFF SRV.)
(617) 665-1616
Entity
Organization
Contact information
Practice address
1493 CAMBRIDGE ST, PROVIDER ENROLLMENT, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
1493 CAMBRIDGE ST, PROVIDER ENROLLMENT, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
VVA5
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613900
TUFTS PAYEE NUMBER
—
05
—
9779043
—
MA
05
—
9779159
—
MA
01
—
M15404
BCBS GROUP NUMBER
MA
01
—
M18077
BCBS GROUP NUMBER
MA
Enumeration date
05/09/2007
Last updated
08/27/2014
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