Steward St. Elizabeth's Medical Center of Boston, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

STEWARD ST. ELIZABETH'S MEDICAL CENTER OF BOSTON, INC.

Practice address

736 Cambridge St
Boston, MA 02135-2907

Phone

(617) 789-3000

Fax

(617) 562-7241

NPI assigned

Jul 22, 2010

Last updated

Jul 22, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

STEWARD HEALTH CARE SYSTEM LLCAs reported in NPPES

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

Authorized official

Name

Mark J Rich

Title

Chief Financial Officer

Phone

(617) 789-2706

Specialties & licenses 1

Addresses

Other names 1

• St. Elizabeth's Renal Dialysis Center Other name

Listed as

Saint Elizabeth's Medical Center of BostonCCN 222303

Ownership

Non-profit

Certified

Aug 5, 1977

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

17

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1457664138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-3000",
            "fax_number": "617-562-7241"
        },
        {
            "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": "617-562-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARD ST. ELIZABETH'S MEDICAL CENTER OF BOSTON, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD HEALTH CARE SYSTEM LLC",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-789-2706"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Elizabeth's Renal Dialysis Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steward Medical Group Express Care, Inc
• Steward Medical Group, Inc
• Steward Medical Group, Inc
• Steward St. Elizabeth's Medical Center of Boston, Inc.
• Steward St. Elizabeth's Medical Center of Boston, Inc. (Steward Home Medical Equipment - St. Elizabeth's Medical Center)
• Steward St. Elizabeth's Medical Center of Boston, Inc.
• Steward St. Elizabeth's Medical Center of Boston, Inc.
• Steward St. Elizabeth's Medical Center of Boston, Inc.
• Gail Marie Steward
• Amanda Stewart

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.