MEDICARE: SANCTA MARIA HOSPITAL, INC.

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	314000000X	Skilled Nursing Facility	0927	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	2222557301	OTHER	BLUE CROSS
2	801654	OTHER	TUFTS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144328691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANCTA MARIA HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	799 CONCORD AVE
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02138-1048
Country	:	US
Telephone Number	:	617-868-2200
Fax Number	:	617-868-2851

Provider Business Practice Location Address
First Line	:	799 CONCORD AVE
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02138-1048
Country	:	US
Telephone Number	:	617-868-2200
Fax Number	:	617-868-2851

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	THOMAS GOMES
Credential	:
Telephone Number	:	617-868-2200

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/26/2026

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