Provider Demographics
NPI:1235301797
Name:BRN CORPORATION
Entity Type:Organization
Organization Name:BRN CORPORATION
Other - Org Name:WHITTIER REHABILITATION HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARCIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-556-5858
Mailing Address - Street 1:25 RAILROAD SQ
Mailing Address - Street 2:SUITE 503
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-5721
Mailing Address - Country:US
Mailing Address - Phone:978-556-5907
Mailing Address - Fax:978-521-8818
Practice Address - Street 1:145 WARD HILL AVE
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:MA
Practice Address - Zip Code:01835-6928
Practice Address - Country:US
Practice Address - Phone:978-372-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2292282E00000X
283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
No282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110078934CMedicaid
MA96031OtherCIGNA/HEALTHSOURCE(OUTPATIENT)
MA982299OtherTUFTS ASSOC HEALTH PLAN
2222203401OtherBLUE CROSS (INPATIENT)
MA38900OtherCIGNA/HEALTHSOURCE
MAAA115113OtherHARVARD PILGRIM HEALTHCARE
MA110078934BMedicaid
MA907586OtherTUFTS ASSOC HEALTH PLAN (OUTPATIENT)
MA0081090OtherAETNA/US HEALTHCARE
MA0009417OtherNEIGHBORHOOD HEALTH PLAN
MA2222203402OtherBLUE CROSS IP LEV 2
MA2222203410OtherBLUE CROSS (OUTPATIENT)
MA5280218OtherEVERCARE
MA96031OtherCIGNA/HEALTHSOURCE(OUTPATIENT)