Pine Street Inn in Boston - Community/behavioral Health
Pine Street Inn - NPI 1679608384
Pine Street Inn is a Community/behavioral Health in Boston, Massachusetts. Pine Street Inn practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Pine Street Inn is 1679608384. The last update date is 2012-04-12.
Pine Street Inn's current location address is 444 Harrison Ave, Boston, Massachusetts. You can contact this provider via phone number 6178929451 and fax number 6175217621. The mailing address for Pine Street Inn is 444 Harrison Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Street Inn |
|---|---|
| Address | 444 Harrison Ave, Boston, Massachusetts |
| Phone Number | 6178929451 |
| Fax Number | 6175217621 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Downie Lyndia |
| Telephone Number | 6178929108 |
NPI Number Detail
| NPI Number | 1679608384 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2012-04-12 |
Provider Mailing Address Detail
| Address | 444 Harrison Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21182404 |
| Phone Number | 6178929451 |
| Fax Number | 6175217621 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 817 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1300130 | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pine Street Inn?
The Pine Street Inn has been issued the NPI (National Provider Identifier) 1679608384 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Pine Street Inn's facilities are geographically located?
The facilities of Pine Street Inn are physically situated at the following location: 444 Harrison Ave, Boston, MA, 21182404.
What is the Pine Street Inn's specialty and taxonomy code?
The Pine Street Inn's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679608384 to Pine Street Inn?
The Centers for Medicare & Medicaid Services originally issued the 1679608384 to Pine Street Inn on 2007-02-22.
When was the information regarding Pine Street Inn most recently updated?
The details pertaining to the Pine Street Inn, including its address, specialty, and other relevant information, were last refreshed on 2012-04-12.
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