Provider Demographics
NPI:1760453328
Name:UHS OF WESTWOOD PEMBROKE INC
Entity Type:Organization
Organization Name:UHS OF WESTWOOD PEMBROKE INC
Other - Org Name:WESTWOOD LODGE HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO SR VP
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:45 CLAPBOARDTREE ST
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2903
Mailing Address - Country:US
Mailing Address - Phone:781-762-7764
Mailing Address - Fax:781-255-8802
Practice Address - Street 1:45 CLAPBOARDTREE ST
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-2903
Practice Address - Country:US
Practice Address - Phone:781-762-7764
Practice Address - Fax:781-255-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA690283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000022619OtherBOSTON MEDICAL HEALTH
MA1100246Medicaid
MA1213008Medicaid
1019150OtherCOMCARE FALLON
2228002810OtherBLUE CROSS FEDERAL
691514OtherMAGELLAN
1019080OtherBEACON
1019150OtherBEACON
698809OtherCIGNA
70012228002701OtherBLUE CROSS
22619OtherCOMCARE BMC
801502OtherBEHAVIORAL HEALTH NETWORK
2228002710OtherBLUE CROSS
2228002802OtherBLUE CROSS FEDERAL
M16160OtherBLUE CROSS
105880OtherMAGELLAN
2222802701OtherBLUE CROSS
782102OtherCOMCARE NETWORK HEALTH
=========OtherHPHC PACIFIC CARE
698809OtherCIGNA