OrganizationBoston Medical CenterGeneral Acute Care HospitalHospitalsPractice Address72 E Concord St, Evans 124, Boston, MA 02118-2307(617) 638-6500PECOS EnrollmentBased on the most recent information from CMS, provider Boston Medical Center 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 3 days ago.Profile DetailsProvider ID1306150495Provider TypeOrganizationFull NameBoston Medical CenterSubpartNoEnumeration Date7/30/2010Last Updated7/30/2010Contact InformationPractice LocationPractice Address72 E Concord St, Evans 124, Boston, MA 02118-2307Phone(617) 638-6500Fax(617) 638-6501Mailing LocationMailing Address85 East Concord St, 5th Floor Room 5520, Boston, MA 02118Phone(617) 638-6500Fax(617) 638-6501Authorized OfficialNameDavidoff, Ravin (Cmo)Phone(617) 638-5423Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicense245729Massachusetts