OrganizationBoston Medical CenterGeneral Acute Care HospitalHospitalsPractice Address732 Harrison Ave, Suite 500, Boston, MA 02118-2309(617) 638-8400PECOS 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 yesterday at 11:47 AM.Profile DetailsProvider ID1174748701Provider TypeOrganizationFull NameBoston Medical CenterSubpartNoEnumeration Date4/17/2007Last Updated8/7/2008Contact InformationPractice LocationPractice Address732 Harrison Ave, Suite 500, Boston, MA 02118-2309Phone(617) 638-8400Fax(617) 638-8406Mailing LocationMailing Address18 Wareham St, Medford, MA 02155-6222Phone(617) 638-8400Fax(617) 638-8406Authorized OfficialNameBoucher, Elaine Russo (Nurse Practitioner)Phone(617) 414-8258Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseMA106293Massachusetts