Healthcare Provider Details

I. General information

NPI: 1518938174
Provider Name (Legal Business Name): HRI HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 BABCOCK ST
BROOKLINE MA
02446-6773
US

IV. Provider business mailing address

227 BABCOCK ST
BROOKLINE MA
02446-6773
US

V. Phone/Fax

Practice location:
  • Phone: 617-731-3200
  • Fax:
Mailing address:
  • Phone: 617-731-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number698
License Number StateMA

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO/SR VP
Credential:
Phone: 610-768-3300