Basic Information
| Provider Information | |||||||||
| NPI: | 1972836823 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CAMBRIDGE HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 PORTSMOUTH AVE | ||||||||
| Address2: | |||||||||
| City: | STRATHAM | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038856528 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1493 CAMBRIDGE AVENUE | ||||||||
| Address2: | |||||||||
| City: | CAMBRIDGE | ||||||||
| State: | NH | ||||||||
| PostalCode: | 01493 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176651000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/10/2009 | ||||||||
| LastUpdateDate: | 09/10/2009 | ||||||||
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| AuthorizedOfficialLastName: | FOLEY | ||||||||
| AuthorizedOfficialFirstName: | JESSICA | ||||||||
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| AuthorizedOfficialTitleorPosition: | RN | ||||||||
| AuthorizedOfficialTelephone: | 6176651000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283Q00000X | 265561 | MA | Y | Hospitals | Psychiatric Hospital |
No ID Information.