Professional Outpatient

LBN: Professional Outpatient
Professional Outpatient is an health care organization with primary practice located at 750 Washington St , Boston MA 02111-1526. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Professional Outpatient can be contacted via phone (617) 636-5000, or through Hanscom, Kristin via phone (617) 636-5000.

Contact Information

Primary practice address
750 Washington St Boston MA 02111-1526
Phone: (617) 636-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hanscom, Kristin
Phone: (617) 636-5000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1881884617
LBN Legal business name Professional Outpatient
DBA Doing business as
Authorized official Hanscom, Kristin
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2007
Last updated Sep 14th, 2020 - about 6 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 1881884617 NPPES
Massachusetts MEDICAID 1001329
Massachusetts Other 220116

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