Healthcare Provider Details

I. General information

NPI: 1740250547
Provider Name (Legal Business Name): SPAULDING REHABILITATION HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 09/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 CAMBRIDGE ST
CAMBRIDGE MA
02138-4308
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 617-573-7191
  • Fax:
Mailing address:
  • Phone: 800-488-4351
  • Fax: 978-356-2721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3932
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3932
License Number StateMA

VIII. Authorized Official

Name: SHAWN MILES
Title or Position: ADMINISTRATION
Credential:
Phone: 617-573-7152