OrganizationBoston Medical Center CorporationGeneral Acute Care HospitalHospitalsPractice Address1 Boston Medical Ctr Pl, 88 E Newton Street, Perkin Elmer Building Rm 111, Boston, MA 02118-2908(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 yesterday at 11:47 AM.Profile DetailsProvider ID1346218294Provider TypeOrganizationFull NameBoston Medical Center CorporationSubpartNoEnumeration Date3/8/2006Last Updated3/20/2025Contact InformationPractice LocationPractice Address1 Boston Medical Ctr Pl, 88 E Newton Street, Perkin Elmer Building Rm 111, Boston, MA 02118-2908Phone(617) 414-1609Fax(617) 638-7545Mailing 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 OfficialNameHollenberg, Anthony (President)Phone(617) 638-6903Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseV112MassachusettsProvider IdentifiersIDDescriptionIssuerID1211803DescriptionMedicaidIssuerUnlistedMassachusettsID1009796DescriptionMedicaidIssuerUnlistedMassachusetts