OrganizationMghGeneral Acute Care HospitalHospitalsPractice Address55 Fruit St, Boston, MA 02114-2621(617) 726-1992PECOS EnrollmentBased on the most recent information from CMS, provider Mgh 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 ID1801015045Provider TypeOrganizationFull NameMghSubpartNoEnumeration Date4/25/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address55 Fruit St, Boston, MA 02114-2621Phone(617) 726-1992FaxUnlisted FaxMailing LocationMailing Address55 Fruit St, Boston, MA 02114-2621PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameNolan, Danielle Blanchard (Social Worker)Phone(617) 726-1992Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseUnlisted IssuerMassachusetts