Provider Demographics
NPI:1457454605
Name:BOSTON MEDICAL CENTER CORPORATION
Entity Type:Organization
Organization Name:BOSTON MEDICAL CENTER CORPORATION
Other - Org Name:MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:AGATI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:617-298-7970
Mailing Address - Street 1:229 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-2784
Mailing Address - Country:US
Mailing Address - Phone:617-298-7970
Mailing Address - Fax:617-298-0517
Practice Address - Street 1:229 RIVER ST
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-2784
Practice Address - Country:US
Practice Address - Phone:617-298-7970
Practice Address - Fax:617-298-0517
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOSTON MEDICAL CENTER CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-06
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care