<Unavail>

LBN: Bass River Day Activity Program, Inc.
<Unavail> is an health care organization with primary practice located at 437 Essex St , Beverly MA 01915-1311. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Bass River Day Activity Program, Inc. can be contacted via phone (978) 927-5326, or through Potvin, Edward A via phone (978) 927-5326.

Contact Information

Primary practice address
437 Essex St Beverly MA 01915-1311
Phone: (978) 927-5326
Fax: (978) 922-3109
Website:
Map and Directions
Authorized official contact:
Name: Potvin, Edward A
Phone: (978) 927-5326

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 1308548 Massachusetts

Profile Details

NPI number 1629105382
LBN Legal business name Bass River Day Activity Program, Inc.
DBA Doing business as <Unavail>
Authorized official Potvin, Edward A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Jan 25th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629105382 NPPES
Massachusetts MEDICAID 1319141
Massachusetts MEDICAID 1308548

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