NPIMap

Organization Active NPI

Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
National Provider Identifier
1215062633
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
EMERSON HOSPITAL
Practice address
133 Old Road to 9 Acre Cor
Concord, MA 01742-4159
Phone
(978) 287-1400
Fax
(978) 287-3109
NPI assigned
Feb 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael F Collins, SR DIRECTOR
Title
Financial Operations
Phone
(978) 287-3226

Specialties & licenses 1

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

Addresses

Primary practice location

133 Old Road to 9 Acre Cor
Concord, MA 01742-4159

Mailing address

133 Old Road to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210610000809 MA Part A Provider - Hospital 3779473145 Practice locations: Concord, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215062633. Details of each certification follow.

Hospital certification: CCN 22S084

Legal name
EMERSON HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Apr 24, 1924 in MA
Enrollment address
133 Old Road to Nice Acre Corner
Concord, MA 17422131
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

131 Old Road To 9 Acre Cor
Ste 100
Concord, MA 01742

310 Baker Ave
Concord, MA 01742
Phone (978) 287-8200

310 Baker Ave
Fl 1
Concord, MA 01742
Phone (978) 589-6850

57 Old Road To 9 Acre Cor
Unit B
Concord, MA 01742
Phone (978) 287-8200

747 Main St
Fl 1
Concord, MA 01742
Phone (978) 287-8107

490 Boston Post Rd
Ste 1
Sudbury, MA 01776
Phone (978) 579-6099

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paul Birch Individual Corporate Director Apr 1, 2006
Jeffery Campbell Individual Corporate Director Apr 1, 2017
Eileen Deignan Individual Corporate Director Apr 1, 2015
David Rose Individual Corporate Director Apr 1, 2013
Stephen Coco Individual Corporate OfficerCfo, Senior VP Dec 14, 2021
James Digiovanni Individual Corporate Director Apr 1, 2007
John a Libertino Individual Corporate Director Jun 23, 2020
David B Lautz Individual Corporate Director Apr 1, 2018
John Boynton Individual Corporate Director Jun 22, 2021
Scott T. Kosowicz Individual W-2 Managing EmployeeSr. Director of Finance Oct 1, 2018
Christine Schuster Individual Corporate Director Jun 1, 2011
W-2 Managing Employee Jun 1, 2011
Rose Ann Giordano Individual Corporate Director Apr 1, 2004
Thomas a Lamattina Individual Corporate Director Oct 22, 2019
Richard Churchill Individual Corporate Director Apr 1, 2008
James a Street Individual Corporate Director Apr 1, 2015
Michael Zak Individual Corporate Director Apr 1, 2002
Jill Stansky Individual Corporate Director Apr 1, 2010
Gloria Clough Individual Corporate Director Apr 1, 2004
John Hickling Individual Corporate Director Apr 1, 2008
William Ryan Individual Corporate Director Apr 1, 2017

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215062633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 OLD ROAD TO 9 ACRE COR",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424159",
            "telephone_number": "978-287-1400",
            "fax_number": "978-287-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 OLD ROAD TO 9 ACRE COR",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424159",
            "telephone_number": "978-287-1400",
            "fax_number": "978-287-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERSON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "978-287-3226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SR DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.