Pine Street Inn

LBN: Pine Street Inn
Pine Street Inn is an health care organization with primary practice located at 444 Harrison Ave , Boston MA 02118-2404. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Pine Street Inn can be contacted via phone (617) 892-9451, or through Downie, Lyndia via phone (617) 892-9108.

Contact Information

Primary practice address
444 Harrison Ave Boston MA 02118-2404
Phone: (617) 892-9451
Fax: (617) 521-7621
Website:
Map and Directions
Authorized official contact:
Name: Downie, Lyndia
Phone: (617) 892-9108

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 0817 Massachusetts

Profile Details

NPI number 1679608384
LBN Legal business name Pine Street Inn
DBA Doing business as
Authorized official Downie, Lyndia
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Apr 12th, 2012 - about 14 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 1679608384 NPPES
Massachusetts MEDICAID 1300130

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