NPIMap

Organization Active NPI

Boston Medical Center/Spark Center

  • General Acute Care Hospital
  • Mattapan, MA
National Provider Identifier
1669714556
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BOSTON MEDICAL CENTER/SPARK CENTER
Practice address
255 River St
Mattapan, MA 02126-2729
Phone
(617) 534-2050
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. Gemima St. Louis
Title
Director of Mental Health Training
Phone
(617) 534-2050

Specialties & licenses 1

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

Addresses

Primary practice location

255 River St
Mattapan, MA 02126-2729

Mailing address

23 Boston Ave
#2
Medford, MA 02155-6721

National Provider Directory

National Provider Directory
Tax ID family
Boston Medical Center Corporation Dba Cornerstone Health Solutions52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1669714556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BOSTON AVE",
            "address_2": "#2",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 RIVER ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262729",
            "telephone_number": "617-534-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL CENTER/SPARK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "ST. LOUIS",
        "authorized_official_first_name": "GEMIMA",
        "authorized_official_title_or_position": "DIRECTOR OF MENTAL HEALTH TRAINING",
        "authorized_official_telephone_number": "617-534-2050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.