Organization Active NPI

Boston VA Healthcare System

  • Military Hospital
  • Brockton, MA
National Provider Identifier
1508263369
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
A Issued in MA
Legal business name
BOSTON VA HEALTHCARE SYSTEM
Practice address
940 Belmont St
Boston Healthcare System
Brockton, MA 02301
Phone
(774) 826-1257
NPI assigned
Nov 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Donna Wells
Title
Human Resources
Phone
(774) 826-1257

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X A MA
Military Hospital 286500000X A MA Primary
Military General Acute Care Hospital 2865M2000X A MA
Operational (Transportable) Military General Acute Care Hospital 2865X1600X A MA
Skilled Nursing Facility 314000000X A MA

Addresses

Primary practice location

940 Belmont St
Boston Healthcare System
Brockton, MA 02301

Mailing address

940 Belmont St
Boston Healthcare System
Brockton, MA 02301
Phone (774) 826-1257

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508263369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 BELMONT ST",
            "address_2": "BOSTON HEALTHCARE SYSTEM",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "774-826-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 BELMONT ST",
            "address_2": "BOSTON HEALTHCARE SYSTEM",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "774-826-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON VA HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "774-826-1257"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MA",
            "license": "A",
            "primary": false
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "MA",
            "license": "A",
            "primary": true
        },
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "MA",
            "license": "A",
            "primary": false
        },
        {
            "code": "2865X1600X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
            "state": "MA",
            "license": "A",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.