Provider Demographics
NPI:1053776211
Name:THE HOSPITAL CORPORATION
Entity type:Organization
Organization Name:THE HOSPITAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:REILLY-TREMBALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-724-7875
Mailing Address - Street 1:MA GENERAL HOSPTITAL
Mailing Address - Street 2:55 FRUIT STREET GB005
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114
Mailing Address - Country:US
Mailing Address - Phone:617-726-2515
Mailing Address - Fax:617-724-5013
Practice Address - Street 1:55 FRUIT ST # GB005
Practice Address - Street 2:MA GENERAL HOSPTITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-2515
Practice Address - Fax:617-724-5013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2155934OtherPK