Organization Active NPI

Enrm Veterans Administration Medical Center

Doing business as Lorae D. Phelan, RN, MS, CS

  • General Acute Care Hospital
  • Bedford, MA
National Provider Identifier
1841257938
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
163625PC Issued in MA
Legal business name
ENRM VETERANS ADMINISTRATION MEDICAL CENTER
Doing business as
Lorae D. Phelan, RN, MS, CS
Practice address
200 Springs Rd
Mental Health Clinic
Bedford, MA 01730-1114
Phone
(781) 687-3592
Fax
(781) 687-2018
NPI assigned
May 1, 2006
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
Ms. Karen Y. Waghorn
Title
Hospital Director
Phone
(781) 687-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 163625PC MA Primary

Addresses

Primary practice location

200 Springs Rd
Mental Health Clinic
Bedford, MA 01730-1114

Mailing address

200 Springs Rd
Mental Health Clinic
Bedford, MA 01730-1114
Phone (781) 687-3592

Other names 1

  • Lorae D. Phelan, RN, MS, CS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841257938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "address_2": "MENTAL HEALTH CLINIC",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-687-3592",
            "fax_number": "781-687-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "address_2": "MENTAL HEALTH CLINIC",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-687-3592",
            "fax_number": "781-687-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRM VETERANS ADMINISTRATION MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGHORN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "HOSPITAL DIRECTOR",
        "authorized_official_telephone_number": "781-687-2201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "163625PC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lorae D. Phelan, RN, MS, CS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.