- Enrollment id
- O20241008002915
- Enrollment state
- MA
- Provider type code
- 00-09
- Provider type text
- PART A PROVIDER - HOSPITAL
- Npi
- 1265268510
- Multiple npi flag
- N
- Ccn
- 22S036
- Associate id
- 6406387968
- Organization name
- BMC COMMUNITY HOSPITAL CORPORATION II
- Doing business as name
- ST. ELIZABETH'S MEDICAL CENTER
- Incorporation date
- 2024-09-04
- Incorporation state
- MA
- Organization type structure
- OTHER
- Organization other type text
- NONPROFIT CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 736 CAMBRIDGE ST
- City
- BOSTON
- State
- MA
- Zip code
- 21352907
- Practice location type
- HOSPITAL PSYCHIATRIC UNIT
- Subgroup - general
- N
- Subgroup - acute care
- N
- Subgroup - alcohol drug
- N
- Subgroup - childrens
- N
- Subgroup - long-term
- N
- Subgroup - psychiatric
- N
- Subgroup - rehabilitation
- N
- Subgroup - short-term
- N
- Subgroup - swing-bed approved
- N
- Subgroup - psychiatric unit
- Y
- Subgroup - rehabilitation unit
- N
- Subgroup - specialty hospital
- N
- Subgroup - other
- N
- Reh conversion flag
- N