Provider Demographics
NPI:1649241274
Name:MARIE ESTHER HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:MARIE ESTHER HEALTH CENTER, INC.
Other - Org Name:ALLIANCE HEALTH AT MARIE ESTHER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:B
Authorized Official - Last Name:KEMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-348-2001
Mailing Address - Street 1:720 BOSTON POST RD E
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-3766
Mailing Address - Country:US
Mailing Address - Phone:508-485-3791
Mailing Address - Fax:508-597-1495
Practice Address - Street 1:720 BOSTON POST RD E
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3766
Practice Address - Country:US
Practice Address - Phone:508-485-3791
Practice Address - Fax:508-597-1495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0960311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0921408Medicaid
MA225619Medicare Oscar/Certification