MEDICARE: YOUVILLE HOSPITAL & REHABILITATION CENTER

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	282E00000X	Long Term Care Hospital

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CA7049	OTHER	MA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	900582	OTHER	MA	HARVARD COMMUNITY HEALTH
3	2222200002	OTHER	MA	REHABILITATION INPATIENT
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	905169	OTHER	MA	TUFTS HEALTH PLAN INPT NO
8	996006	OTHER	MA	NETWORK HEALTH

General Provider Information

NPI Number	:	1992707178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUVILLE HOSPITAL & REHABILITATION CENTER

Provider Business Mailing Address
First Line	:	1575 CAMBRIDGE ST
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02138-4308
Country	:	US
Telephone Number	:	617-876-4344
Fax Number	:	617-234-7913

Provider Business Practice Location Address
First Line	:	1575 CAMBRIDGE ST
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02138-4308
Country	:	US
Telephone Number	:	617-876-4344
Fax Number	:	617-234-7913

Authorized Official
Title or Position	:	VP OF FINANCE/CFO
Name	:	MR. MICHAEL J KELLER
Credential	:	CFO
Telephone Number	:	617-876-4344

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	04/20/2008

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Directions to “YOUVILLE HOSPITAL & REHABILITATION CENTER ” Practice Location

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