Provider Demographics
NPI:1063627628
Name:HALLMARK HEALTH
Entity type:Organization
Organization Name:HALLMARK HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE, HOME HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TREFONIDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-338-7881
Mailing Address - Street 1:100 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-3573
Mailing Address - Country:US
Mailing Address - Phone:877-896-6600
Mailing Address - Fax:781-338-7217
Practice Address - Street 1:100 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-3573
Practice Address - Country:US
Practice Address - Phone:877-896-6600
Practice Address - Fax:781-338-7217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1533339Medicaid