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General NPI Number Information
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NPI Number | 1568880110
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Entity Type | Organization
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Legal Business Name | BETH ISRAEL DEACONESS MEDICAL CENTER, INC
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 200 BOYLSTON ST
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-2012
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Country | US
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Telephone | 617-667-7000
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Fax | 617-975-5700
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Provider Business Mailing Address
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Address Line | 330 BROOKLINE AVE
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City | BOSTON
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State | MA
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Zip | 02215-5400
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Country | US
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Telephone | 617-667-7000
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Fax | 617-975-5700
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. SATISH BHOGADI
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Credential |
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Telephone | 617-785-6619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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