Provider Demographics
NPI:1821487802
Name:AHC ALLIED HEALTHCARE OF NEW ENGLAND, INC.
Entity Type:Organization
Organization Name:AHC ALLIED HEALTHCARE OF NEW ENGLAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:DYKENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-474-9400
Mailing Address - Street 1:469 NEPONSET AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02122-3133
Mailing Address - Country:US
Mailing Address - Phone:617-474-9400
Mailing Address - Fax:617-474-9500
Practice Address - Street 1:469 NEPONSET AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02122-3133
Practice Address - Country:US
Practice Address - Phone:617-474-9400
Practice Address - Fax:617-474-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7431940001Medicare NSC