| Organization Name: | BOSTON MEDICAL CENTER CORPORATION |
| NPI Number: | 1225228679 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AKINOLA OGUNGBADERO (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 409 W Broadway South Boston |
| State: | MA US |
| Postal Code: | 021272245 |
| Phone Number: | 6172697500 |
| Fax Number: | 6174647581 |
| NPI Enumeration Date: | 07/31/2007 |
| NPI Last Update Date: | 04/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | V112 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |