Organization
COLUMN HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN JAMES BEATTY (CEO)
(617) 710-6488
Entity
Organization
Contact information
Practice address
339 MASSACHUSETTS AVE, ARLINGTON, MA 02474-6718
(617) 710-6488
(617) 710-6488
Mailing address
339 MASSACHUSETTS AVE, ARLINGTON, MA 02474-6718
(617) 710-6488
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102199A
—
MA
01
—
1861898934
NPI
MA
01
—
S100205721
MEDICARE
—
Enumeration date
11/09/2017
Last updated
11/09/2017
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