Provider Demographics
NPI:1982603734
Name:THE OXFORD
Entity Type:Organization
Organization Name:THE OXFORD
Other - Org Name:OXFORD HEALTH SYSTEMS
Other - Org Type:Other Name
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WOODBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-420-1500
Mailing Address - Street 1:689 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-2643
Mailing Address - Country:US
Mailing Address - Phone:978-420-1500
Mailing Address - Fax:978-420-1465
Practice Address - Street 1:689 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-2643
Practice Address - Country:US
Practice Address - Phone:978-373-1131
Practice Address - Fax:978-373-3074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0700314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110026368BMedicaid
MA110026368BMedicaid