OrganizationBoston Medical Center CorporationGeneral Acute Care HospitalHospitalsPractice Address88 East Newton Street, Boston Medical Center Placeperkin Elmer Building Rm 111, Boston, MA 02118-2908(617) 638-8000(617) 414-1609PECOS EnrollmentBased on the most recent information from CMS, provider Boston Medical Center Corporation 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 2 days ago.Profile DetailsProvider ID1346218294Provider TypeOrganizationFull NameBoston Medical Center CorporationSubpartNoEnumeration Date3/8/2006Last Updated9/29/2011Contact InformationPractice LocationPractice Address88 East Newton Street, Boston Medical Center Placeperkin Elmer Building Rm 111, Boston, MA 02118-2908Phone(617) 638-8000FaxUnlisted FaxMailing LocationMailing Address1 Boston Medical Ctr Pl, 88 E Newton Street, Perkin Elmer Building Rm 111, Boston, MA 02118-2908Phone(617) 414-1609Fax(617) 638-7545Authorized OfficialNameSilveria, Richard W (Cfo/Vice President For Finance)Phone(617) 414-2697Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseV112MassachusettsProvider IdentifiersIDDescriptionIssuerID1211803DescriptionMedicaidIssuerUnlistedMassachusettsID1009796DescriptionMedicaidIssuerUnlistedMassachusetts