ST. ELIZABETH'S HEALTHCARE AT HANSCOM AIR BASE
NPI 1467524827
Clinic/Center in Hanscom Afb, MA

Active since November 14, 2006
1609 EGLIN ST, HANSCOM AFB, MA 01731(617) 789-2204(617) 562-5415 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St. Elizabeth's Healthcare At Hanscom Air Base NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. ELIZABETH'S HEALTHCARE AT HANSCOM AIR BASE (NPI 1467524827) is a healthcare organization registered as a clinic/center in Hanscom Afb, Massachusetts and active in the NPI registry since November 2006. The organization lists Miles Coverdale, Cfo, as its authorized official.

NPPES Registry Identity

NPI1467524827
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameST. ELIZABETH'S HEALTHCARE AT HANSCOM AIR BASE
Location Address1609 EGLIN STHanscom Afb, MA 01731-2613
Mailing Address1609 Eglin StHanscom Afb, MA 01731-2613 · (617) 789-2204 · Fax (617) 562-5415
Fax(617) 562-5415
Organization SubpartNo
Authorized OfficialMiles CoverdaleCfo · (617) 789-3000
Enumeration DateNovember 14, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1467524827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1609 EGLIN ST, Hanscom Afb, MA 01731

Other Identifiers 1

Medicaid1214225MA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Clinic Pharmacy)
1609 EGLIN ST
HANSCOM AFB, MA 01731
Family Medicine
1609 EGLIN ST, HANSCOM AFB
BEDFORD, MA 01731
Internal Medicine
1609 EGLIN ST, HANSCOM AFB
HANSCOM AFB, MA 01731
Pharmacy (Managed Care Organization Pharmacy)
1609 EGLIN ST
HANSCOM AFB, MA 01731
Internal Medicine
1609 EGLIN ST
HANSCOM AFB, MA 01731
Nurse Practitioner
1609 EGLIN ST
BEDFORD, MA 01731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Elizabeth's Healthcare At Hanscom Air Base's NPI number?

The NPI number for St. Elizabeth's Healthcare At Hanscom Air Base is 1467524827. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is St. Elizabeth's Healthcare At Hanscom Air Base located?

St. Elizabeth's Healthcare At Hanscom Air Base is located at 1609 Eglin St, Hanscom Afb, MA 01731. The listed phone number is (617) 789-2204.

What is St. Elizabeth's Healthcare At Hanscom Air Base's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for St. Elizabeth's Healthcare At Hanscom Air Base was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.