Organization
FRANCISCAN HOSPITAL FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCLOON (GENERAL COUNSEL)
(617) 779-1111
Entity
Organization
Contact information
Practice address
30 WARREN ST, BRIGHTON, MA 02135-3602
(617) 779-1111
(617) 779-1109
Mailing address
30 WARREN ST, BRIGHTON, MA 02135-3602
(617) 779-1111
(617) 779-1109
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
2221
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70012222330001
BLUE CROSS/BLUE SHIELD OF MASSACHUSETTS
MA
01
—
70012222330010
BLUE CROSS/BLUE SHIELD OF MASSACHUSETTS
MA
Enumeration date
10/08/2010
Last updated
10/08/2010
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