MEDICARE: MARLBOROUGH HOSPITAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center		MA
2	282N00000X	General Acute Care Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000049	OTHER	MA	FALLON
2	001387	OTHER	MA	MBHP
3	20548	OTHER	MA	HEALTHNET
4	900020	OTHER	MA	TUFTS INPT
5	NP00266-70	OTHER	MA	BOSTON HEALTH NET
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	000000020548	OTHER	MA	BMC HEALTHNET PLAN
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	1002040	OTHER	MA	BEACON
11	0061895	OTHER	MA	UNITED HEALTH CARE
12	900116	OTHER	MA	HARVARD PILGRIM
13	2222004910	OTHER	MA	BLUE CROSS
14	42695	OTHER	MA	MAGELLAN
15	44543345	OTHER	MA	CHAMPUS
16	0007126	OTHER	MA	NHP
17	796300	OTHER	MA	NETWORK HEALTH
18	900744	OTHER	MA	TUFTS OUTPT

General Provider Information

NPI Number	:	1396738159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARLBOROUGH HOSPITAL CORP

Provider Business Mailing Address
First Line	:	157 UNION ST
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-1228
Country	:	US
Telephone Number	:	508-481-5000
Fax Number	:	508-486-5606

Provider Business Practice Location Address
First Line	:	157 UNION ST
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-1228
Country	:	US
Telephone Number	:	508-481-5000
Fax Number	:	508-486-5606

Authorized Official
Title or Position	:	CFO
Name	:	STEVEN MCCUE
Credential	:
Telephone Number	:	508-486-5804

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	02/05/2024

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Practice Location Address:

157 UNION ST
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01752-1228

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1528058666 — GILBERT A. FISHBEIN MD
Practice Location Address:

157 UNION ST , DEPARTMENT OF ANESTHESIOLOGY
MARLBOROUGH, MA
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1063493302 — SUSAN E DONOHUE M.D.
Practice Location Address:

157 UNION ST
MARLBOROUGH, MA
01752-1228

Practice Phone: 508-486-6700
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1639151574 — HABIB A. SIOUFI MD
Practice Location Address:

157 UNION ST , DEPARTMENT OF PATHOLOGY
MARLBOROUGH, MA
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Practice Fax:

1437132693 — CHRISTINA H. HERNON MD
Practice Location Address:

157 UNION ST , DEPARTMENT OF EMERGENCY MEDICINE
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1487638326 — KATHARYN E. KENNEDY MD
Practice Location Address:

157 UNION ST , DEPARTMENT OF EMERGENCY MEDICINE
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Directions to “MARLBOROUGH HOSPITAL CORP ” Practice Location

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