NPIMap

Organization Active NPI

Caritas St. Elizabeth'S Medical Center

  • General Acute Care Hospital
  • Boston, MA
National Provider Identifier
1043382567
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CARITAS ST. ELIZABETH'S MEDICAL CENTER
Practice address
736 Cambridge St
Boston, MA 02135-2907
Phone
(617) 789-3000
Fax
(508) 235-5330
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miles Coverdale
Title
Cfo
Phone
(617) 789-2204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

736 Cambridge St
Boston, MA 02135-2907

Mailing address

736 Cambridge St
St Elizabeth Medical Center
Boston, MA 02135-2907
Phone (617) 789-3000

Other identifiers 1

IdentifierTypeStateIssuer
1001884MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Steward St Elizabeths Medical Center of Boston Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1043382567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "address_2": "ST ELIZABETH MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-3000",
            "fax_number": "617-562-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-3000",
            "fax_number": "508-235-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS ST. ELIZABETH'S MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "COVERDALE",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-789-2204"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001884",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.