BOSTON MEDICAL CENTER/SPARK CENTER (NPI# 1669714556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669714556 |
| Entity Type | Organization |
| Organization Name | BOSTON MEDICAL CENTER/SPARK CENTER |
| Practice Address |
255 River St Mattapan MA 02126-2729 |
| Mailing Address |
23 Boston Ave #2 Medford MA 02155-6721 |
| Practice Telephone | 6175342050 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | DR. GEMIMA ST. LOUIS (DIRECTOR OF MENTAL HEALTH TRAINING) |
| Authorized Official Telephone | 6175342050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669714457 | Boston Medical Center/spark Center | Early Intervention Provider Agency | 255 River St, Mattapan, MA 02126-2729 | 2013-03-20 |
| Street Address |
255 RIVER ST |
| City | MATTAPAN |
| State | MA |
| Zip Code | 02126-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
| 1376961813 | Natalie Gracia | Registered Nurse | 255 River St, Mattapan, MA 02126-2729 | 2014-04-02 |
| 1669714457 | Boston Medical Center/spark Center | Early Intervention Provider Agency | 255 River St, Mattapan, MA 02126-2729 | 2013-03-20 |
| 1750651998 | Karen Susan Rpgers Lynch | Registered Nurse | 255 River St, Mattapan, MA 02126-2729 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
| 1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
| 1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
| 1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
| 1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
| 1023171998 | Dwyla J Angelos | Counselor | 1613 Blue Hill Ave., Priority Professional Care Suite 302, Mattapan, MA 02126 | 2006-12-19 |
| Find all providers in zip 02126 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710419023 | Shawna Josephine Flaherty | General Acute Care Hospital | 53 Keayne St, Revere, MA 02151-1819 | 2017-03-28 |
| 1740721935 | Doris Kemp | General Acute Care Hospital | 47 Austin St, Boston, MA 02136-1532 | 2017-03-20 |
| 1538607510 | Selah Health, LLC | General Acute Care Hospital | 435 Mckoy Rd, Eastham, MA 02642 | 2017-02-09 |
| 1679010839 | Newton Wellesley Hospital | General Acute Care Hospital | 31 Vine Brook Rd, Westford, MA 01886-4215 | 2017-01-26 |
| 1922551969 | Tufts Medical Center | General Acute Care Hospital | 800 Washington Street, Box 836, Boston, MA 02111 | 2016-07-26 |
| 1578921409 | Regis College | General Acute Care Hospital | 49 S Cottage Rd, Belmont, MA 02478-1155 | 2016-02-06 |
| 1114385218 | Susanne Clare | General Acute Care Hospital | 5 Hickory Ln, Georgetown, MA 01833-1801 | 2016-02-03 |
| 1265802615 | Anh Duong | General Acute Care Hospital | 10 Bow Street Ext, Saugus, MA 01906 | 2015-09-29 |
| 1558737460 | David John Murphy | General Acute Care Hospital | Brigham and Women's Hospital, 75 Francis St, Dept Cardiovascular Imaging, Boston, MA 02115 | 2015-08-14 |
| 1235515628 | Dayna Gardner | General Acute Care Hospital | 33 East St, East Bridgewater, MA 02333-1939 | 2015-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.