Provider Demographics
NPI:1225181860
Name:BALDPATE HOSPITAL
Entity type:Organization
Organization Name:BALDPATE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALS COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARC-AURELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1978-352-2131
Mailing Address - Street 1:83 BALDPATE RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01833-2303
Mailing Address - Country:US
Mailing Address - Phone:197-835-2213
Mailing Address - Fax:197-835-2675
Practice Address - Street 1:83 BALDPATE RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:MA
Practice Address - Zip Code:01833-2303
Practice Address - Country:US
Practice Address - Phone:197-835-2213
Practice Address - Fax:197-835-2675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA28245283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital