Provider Demographics
NPI:1568688950
Name:FS COMMONWEALTH LLC
Entity Type:Organization
Organization Name:FS COMMONWEALTH LLC
Other - Org Name:NEW ENGLAND REHABILITATION HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PATIENT ACCOUNTS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:STEPHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-446-1729
Mailing Address - Street 1:220 PAWTUCKET ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-3573
Mailing Address - Country:US
Mailing Address - Phone:978-446-1729
Mailing Address - Fax:978-446-1643
Practice Address - Street 1:2 REHABILITATION WAY
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6003
Practice Address - Country:US
Practice Address - Phone:978-446-1729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1101897Medicaid
MA900360OtherHARVARD PILGRIM HEALTHCAR
MA1200208Medicaid
MA661708OtherTUFTS ASSOCIATED HEALTH P
MA2222015901OtherBLUE CROSS
661673OtherTUFT ASSOCIATED HEALTH PL
MA2222015910OtherBLUE CROSS
MA2222015901OtherBLUE CROSS