OrganizationMassachusetts General HospitalGeneral Acute Care HospitalHospitalsPractice Address55 Fruit St, Cox 5 Mgh, Boston, MA 02114-2621(617) 643-3624(857) 928-6195PECOS EnrollmentBased on the most recent information from CMS, provider Massachusetts General Hospital does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1154468510Provider TypeOrganizationFull NameMassachusetts General HospitalSubpartNoEnumeration Date2/1/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address55 Fruit St, Cox 5 Mgh, Boston, MA 02114-2621Phone(617) 643-3624FaxUnlisted FaxMailing LocationMailing Address91 Fort Ave, Unit 3, Roxbury, MA 02119-1463Phone(857) 928-6195FaxUnlisted FaxAuthorized OfficialNameShaw, Christopher Joseph (Registered Nurse)Phone(617) 643-3624Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicense205807Massachusetts