MA DEPARTMENT OF YOUTH SERVICES NPI 1003038365

Public Health or Welfare in Boston, MA

NPI 1003038365 Organization Public Health or Welfare

About MA DEPARTMENT OF YOUTH SERVICES

Ma Department Of Youth Services is a provider established in Boston, Massachusetts specializing in public health or welfare. The NPI number of Ma Department Of Youth Services is 1003038365 and was assigned on May 2007. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Kim Egan (Budget Director)

NPI

1003038365

Provider NameMA DEPARTMENT OF YOUTH SERVICES
Provider Location Address27 WORMWOOD STREET SUITE 400 BOSTON, MA 02210
Provider Mailing Address27 WORMWOOD STREET SUITE 400 BOSTON, MA 02210
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-03-2007
Last Update Date10-23-2007


Primary Taxonomy

Taxonomy Code251K00000X
ClassificationPublic Health or Welfare
TypeAgencies

Business Address

MA DEPARTMENT OF YOUTH SERVICES
27 WORMWOOD STREET
SUITE 400
BOSTON, MA
ZIP 02210
Phone: (617) 727-7575
Fax: (617) 951-2409

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Mailing Address

MA DEPARTMENT OF YOUTH SERVICES
27 WORMWOOD STREET
SUITE 400
BOSTON, MA
ZIP 02210
Phone: (617) 727-7575
Fax: (617) 951-2409



Authorized Official

Authorized Official Name KIM EGAN
Authorized Official TitleBUDGET DIRECTOR
Authorized Official Phone(617) 960-3258

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1803867MEDICAID (05)MA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.