Provider Demographics
NPI:1861637969
Name:BOSTON EMERGENCY SERVICES EMERGENCY BMC
Entity Type:Organization
Organization Name:BOSTON EMERGENCY SERVICES EMERGENCY BMC
Other - Org Name:BEST BMC ED
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-638-4920
Mailing Address - Street 1:850 HARRISON AVE
Mailing Address - Street 2:EMERGENCY DEPT
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-4001
Mailing Address - Country:US
Mailing Address - Phone:617-414-4075
Mailing Address - Fax:617-414-1975
Practice Address - Street 1:85 E NEWTON ST
Practice Address - Street 2:M802
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2340
Practice Address - Country:US
Practice Address - Phone:617-638-4920
Practice Address - Fax:617-414-1975
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOSTON MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care