Provider Demographics
NPI:1801933841
Name:NEW HYPERBARIC OXYGEN TREATMENT CENTERS LLC
Entity type:Organization
Organization Name:NEW HYPERBARIC OXYGEN TREATMENT CENTERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:781-961-7887
Mailing Address - Street 1:1395 NORTH MAIN STREET
Mailing Address - Street 2:SUITE G
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-1768
Mailing Address - Country:US
Mailing Address - Phone:781-961-7887
Mailing Address - Fax:781-986-8360
Practice Address - Street 1:1395 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-1768
Practice Address - Country:US
Practice Address - Phone:781-961-7887
Practice Address - Fax:781-986-8360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA909248OtherHARVARD PILGRIM HEALTHCAR
MAUNITED HEALTHOther043520490
MA0Q00865010OtherBCBS
MA691255OtherTUFTS HEALTHPLAN