Provider Demographics
NPI:1033199732
Name:WINCHESTER HOSPITAL
Entity Type:Organization
Organization Name:WINCHESTER HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-756-2482
Mailing Address - Street 1:800 W CUMMINGS PARK
Mailing Address - Street 2:SUITE 5000
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6372
Mailing Address - Country:US
Mailing Address - Phone:781-756-2488
Mailing Address - Fax:781-756-2489
Practice Address - Street 1:800 W CUMMINGS PARK
Practice Address - Street 2:SUITE 5000
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6372
Practice Address - Country:US
Practice Address - Phone:781-756-2488
Practice Address - Fax:781-756-2489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0606324Medicaid
MA22-7411Medicare ID - Type Unspecified