Covered Entity Details

RRC220110-131 BRIGHAM AND WOMENS HOSPITAL (Active) - information as of 4/29/2025 10:33:14 PM

Main Details

Name

BRIGHAM AND WOMENS HOSPITAL

Subdivision Name

BWH WATKINS CARDIOVASCULAR CLINIC BWH RAD CSIR CLINIC - Interventional Radiology

Type

Rural Referral Center

Rural

Yes

340B ID

RRC220110-131

Medicare Provider Number

220110

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

4/10/2020

Participating Start Date

7/1/2020

Participating Approval Date

6/8/2020

Last Recertification Date

9/5/2024

Contacts

Authorizing Official

Brigham and Women's Hospital - Boston, MA
Garrett McKinnon, Vice President of Finance
(857) 282-4406

Primary Contact

Massachusetts General Hospital
Rafic Nehme, Director, Pharmacy Business & Finance
(617) 726-5125

Addresses

Street Address

70 Francis St.
Boston, MA 02115

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MA	110022076C	1790717650

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
RRC220110-01	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH SOUTHERN JAMAICA PLAIN H C BWH FAMILY MED SJP	640 Centre St	Jamaica Plain	MA	Active
RRC220110-02	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OSHER CENTER BWH OSHER CAM 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-03	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S / MASS GENERAL HEALTH CARE CENTER - FXB SPECIALTY CLINICS PHYSICAL MEDICINE AND REHABILITATION	20 Patriot Pl	Foxborough	MA	Terminated
RRC220110-04	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH FXB SPECIALTY CLINICS BWH PAIN MGMT FXB	20 Patriot Pl	Foxborough	MA	Active
RRC220110-05	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OSHER CENTER BWH NEURO OSH 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-06	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BMG AMBULATORY SERVICES INFECTIOUS DISEASES	15 Francis Street	Boston	MA	Terminated
RRC220110-07	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BROOKSIDE PARK F L C BWH PULMONARY BCH	3297 Washington St	Jamaica Plain	MA	Active
RRC220110-08	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH TRANSFUSION SERVICE BWH BLOOD DONOR APHER	35 BINNEY ST.	Boston	MA	Active
RRC220110-09	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ALLERGY CLINIC AT 850 BWH ALLRGY STE 301 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-10	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BRIGHAM DENTAL GROUP BWH ORAL MED DENTISTRY	45 FRANCIS ST	Boston	MA	Active
RRC220110-100	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SOUTHERN JAMAICA PLAIN HEALTH CENTE - OUTPATIENT INFUSION SERVICE Internal Medicine	640 CENTRE ST	JAMAICA PLAIN	MA	Terminated
RRC220110-101	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - TRANSFUSION SERVICE Infusion Therapy	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-102	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SOUTHERN JAMAICA PLAIN HEALTH CENTE - WATKINS CARDIOVASCULAR CLINIC Internal Medicine	640 CENTRE ST	JAMAICA PLAIN	MA	Terminated
RRC220110-103	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - OUTPATIENT INFUSION SERVICE Nephrology	45 Francis St.	Boston	MA	Terminated
RRC220110-104	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - ALLERGY CLINIC Infusion Therapy	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-105	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - OUTPATIENT INFUSION SERVICE Neurosurgery	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-108	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH 850 ENDOSCOPY BWH ENDOSCOPY 850 DEPT	850 BOYLSTON ST, SUITES 100,102B,200,201,202, 301	CHESTNUT HILL	MA	Active
RRC220110-109	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CEN - 850 INFUSION Endoscopy	850 BOYLSTON ST, SUITES 100,102B,200,201,202, 301	CHESTNUT HILL	MA	Terminated
RRC220110-11	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WOMEN'S HEALTH/FISH CENTER BWH PSYCH SW WHC 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-110	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - TRANSFUSION SERVICE Cardiology	70 Francis St.	Boston	MA	Terminated
RRC220110-111	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - FOXBORO UCC Cardiology	70 Francis St.	Boston	MA	Terminated
RRC220110-112	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CEN - NEURO-ANGIOGRAPHY Pain Medicine	850 BOYLSTON ST, SUITES 100,102B,200,201,202, 301	CHESTNUT HILL	MA	Terminated
RRC220110-113	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - TRANSFUSION SERVICE Pulmonology	15 Francis St.	Boston	MA	Terminated
RRC220110-114	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CEN - 850 ENDOSCOPY Pain Medicine	850 BOYLSTON ST, SUITES 100,102B,200,201,202, 301	CHESTNUT HILL	MA	Terminated
RRC220110-115	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ULTRASONOGRAPHY BWH THYROID NODULE LNW - Endocrinology	221 Longwood Ave.	Boston	MA	Active
RRC220110-116	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BROOKSIDE PARK F L C BWH NUTRITION BCH - Nutrition	3297 Washington St.	Jamaica Plain	MA	Terminated
RRC220110-117	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ALLERGY CLINIC AT 850 BWH ALLRGY STE 540 850 - Allergy and Immunology	850 Boylston Street	Chestnut Hill	MA	Active
RRC220110-118	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BRIGHAM OB-GYN GROUP BWH BOGG 850 - Obstetrics and Gynecology	850 Boylston Street	Chestnut Hill	MA	Active
RRC220110-119	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH PAIN CLINIC BWH PAIN MGMT 850 - Pain Medicine	850 Boylston Street	Chestnut Hill	MA	Active
RRC220110-12	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SOUTHERN JAMAICA PLAIN HEALTH CENTER - SOUTHERN JAMAICA PLAIN H C PSYCHIATRY	640 Centre St	Jamaica Plain	MA	Terminated
RRC220110-120	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH CENTER FOR CHEST DISEASE BWH PULM GENETICS - Pulmonology	15 Francis St.	Boston	MA	Active
RRC220110-121	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH SOUTHERN JAMAICA PLAIN H C BWH ADULT MEDICAL SJP - Internal Medicine	640 Centre St.	Jamaica Plain	MA	Active
RRC220110-122	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH REHAB SERVICES @ 850 BOYLSTON BWH REHAB PT 850 - Physical Therapy	850 Boylston Street	Chestnut Hill	MA	Active
RRC220110-123	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH CROHN'S & COLITIS CENTER BWH GI MED CROHNS 850 - Gastroenterology	850 Boylston Street	Chestnut Hill	MA	Active
RRC220110-124	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BMG AMBULATORY SERVICES BWH INFECT DIS MED - Infectious Diseases	45 Francis St	Boston	MA	Active
RRC220110-125	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH RHEUMATOLOGY CLINIC BWH RHEUM CAPRI - Rheumatology	60 Fenwood Rd.	Boston	MA	Active
RRC220110-126	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH FOXBORO UCC BWH UCC FXB - Urgent Care	20 Patriot Pl.	Foxborough	MA	Active
RRC220110-127	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ENDOCRINE AMB CLINIC BWH DIAB MED LNW - Endocrinology	221 Longwood Ave.	Boston	MA	Active
RRC220110-128	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH CARDIO EP/REMOTE - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-129	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BBF 1 NEUROSURGERY BWH OTOLARYNGOLGY HALE - Otolaryngology	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-13	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH CARDIO INFUSION	70 FRANCIS ST	Boston	MA	Active
RRC220110-130	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH MULTIPLE SCLEROSIS BWH NEURO MS - Neurology	60 Fenwood Rd.	Boston	MA	Active
RRC220110-131	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH RAD CSIR CLINIC - Interventional Radiology	70 Francis St.	Boston	MA	Active
RRC220110-132	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ELECTROMYOGRAPHY BWH NEURO EMG LAB HALE - Neurophysiology	60 Fenwood Rd.	Boston	MA	Active
RRC220110-133	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH VASC RAYNAUD WAT - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-134	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ADMITTING TEST CENTER BWH PPE WEINER CTR - Pre-Admission Testing	45 Francis St.	Boston	MA	Terminated
RRC220110-135	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH FXB SPECIALTY CLINICS BWH NEUROLOGY EMG FXB - Neurology	20 Patriot Pl.	Foxborough	MA	Active
RRC220110-136	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH CARDIO GENETICS - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-137	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BBF 1 NEUROPSYCHOLOGY BWH NEUROPSYCH - Psychiatry	60 Fenwood Rd.	Boston	MA	Active
RRC220110-138	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ELECTROENCEPHALOGRAPHY BWH EEG LAB HALE - Epilepsy	60 Fenwood Rd.	Boston	MA	Active
RRC220110-139	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WOMEN'S HEALTH/FISH CENTER BWH PSYCHIATRY WHC 850 - Psychiatry	850 Boylston	Boston	MA	Terminated
RRC220110-14	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BMG AMBULATORY SERVICES BWH RENAL MEDICINE	45 FRANCIS ST	Boston	MA	Active
RRC220110-140	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH NUCLEAR MEDICINE BWH NUCLEAR CARDIOLOGY - Nuclear Medicine	70 Francis St.	Boston	MA	Active
RRC220110-141	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OUTPATIENT CLINICAL NEUROLOGY BWH NEUROMUSCULAR - Neurology	60 Fenwood Rd.	Boston	MA	Active
RRC220110-142	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OSHER CENTER BWH OSHER PC 850 - Internal Medicine	850 Boylston Street	Chestnut Hill	MA	Active
RRC220110-143	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH CARDIAC REHAB BWH CARDIAC STRESS LAB - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-144	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BROOKSIDE PARK F L C BWH ADULT MEDICAL BCH - Internal Medicine	3297 Washington St.	Jamaica Plain	MA	Active
RRC220110-145	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH O/P REHAB BWH REHAB OP PT - Physical Therapy	70 Francis St.	Boston	MA	Active
RRC220110-146	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH FXB RADIOLOGY EXERCISE STRESS BWH CARDIAC STRESS FXB - Cardiology	20 Patriot Pl.	Foxborough	MA	Active
RRC220110-147	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH RENAL MED WAT - Nephrology	70 Francis St.	Boston	MA	Active
RRC220110-148	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH SOUTHERN JAMAICA PLAIN H C BWH OBGYN FP SJP - Obstetrics and Gynecology	640 Centre St.	Jamaica Plain	MA	Active
RRC220110-149	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH PAIN CLINIC BWH PAIN MGMT HALE - Pain Medicine	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-15	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH FXB OPERATING ROOM BWH PERIOP DEPT FXB	20 Patriot Pl	Foxborough	MA	Active
RRC220110-150	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH CENTER FOR CHEST DISEASE BWH INFECT DIS TB - Infectious Diseases	15 Francis St.	Boston	MA	Active
RRC220110-151	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH FXB REHAB SERVICES BWH REHAB PT FXB - Physical Therapy	20 Patriot Pl.	Foxborough	MA	Active
RRC220110-152	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OUTPATIENT CLINICAL NEUROLOGY BWH NEURO MVMT - Neurology	60 Fenwood Rd.	Boston	MA	Active
RRC220110-153	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH CARDIO ARRHYTH - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-154	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BMG AMBULATORY SERVICES BWH BMS INTERNAL MED - Internal Medicine	45 Francis St.	Boston	MA	Active
RRC220110-155	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH RHEUMATOLOGY CLINIC BWH RHEUM SPINE - Rheumatology	60 Fenwood Rd.	Boston	MA	Active
RRC220110-156	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH CARDIAC ONCOLOGY - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-157	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OUTPATIENT CLINICAL NEUROLOGY BWH NEURO EPILEP - Neurology	60 Fenwood Rd.	Boston	MA	Active
RRC220110-158	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH EKG BWH EKG - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-159	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH CARDIO - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-16	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH SOUTHERN JAMAICA PLAIN H C BWH PEDIATRIC MED SJP	640 Centre St	Jamaica Plain	MA	Active
RRC220110-160	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WOMEN'S HEALTH/FISH CENTER BWH RENAL MED WHC 850 - Nephrology	850 Boylston Street	Chestnut Hill	MA	Active
RRC220110-161	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BMG AMBULATORY SERVICES BWH INFECT DIS TRAV - Travel Medicine	45 Francis St.	Boston	MA	Terminated
RRC220110-162	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH SOUTHERN JAMAICA PLAIN H C BWH GROUP MH SJP - Psychiatry	640 Centre St.	Jamaica Plain	MA	Active
RRC220110-163	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BROOKSIDE PARK F L C BWH RNFHW BCH - Internal Medicine	3297 Washington St.	Jamaica Plain	MA	Active
RRC220110-164	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ENDOCRINE CLINICAL PROCEDURES BWH ENDO HT THYROID - Endocrinology	221 Longwood Ave	Boston	MA	Active
RRC220110-165	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH CARDIO PREVENT - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-166	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OUTPATIENT CLINICAL NEUROLOGY BWH NEURO BH - Neurology	60 Fenwood Rd.	Boston	MA	Active
RRC220110-167	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH INFECT DIS WAT - Infectious Diseases	70 Francis St.	Boston	MA	Active
RRC220110-168	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ELECTROENCEPHALOGRAPHY BWH NEURO SOCIAL WORK - Psychiatry	60 Fenwood Rd.	Boston	MA	Active
RRC220110-169	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH CENTER FOR CHEST DISEASE BWH PULM TB - Pulmonology	15 Francis St.	Boston	MA	Active
RRC220110-17	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH SOUTHERN JAMAICA PLAIN H C BWH CNM OBGYN SJP	640 Centre St	Jamaica Plain	MA	Active
RRC220110-170	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OUTPATIENT CLINICAL NEUROLOGY BWH NEURO GEN - Neurology	60 Fenwood Rd.	Boston	MA	Active
RRC220110-171	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH CARDIAC TRANS - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-172	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BROOKSIDE PARK F L C BWH FAMILY SVCS BCH - Psychiatry	3297 Washington St.	Jamaica Plain	MA	Active
RRC220110-173	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ALLERGY CLINIC BWH IMMUNDFCIENCY HALE - Allergy and Immunology	60 Fenwood Rd.	Boston	MA	Active
RRC220110-174	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH SOUTHERN JAMAICA PLAIN H C BWH INDIV MH SJP - Psychiatry	640 Centre St.	Jamaica Plain	MA	Active
RRC220110-175	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH CARD ADV HRT DIS - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-176	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH NEWBORN AMBULATORY CLINIC BWH CHILD DVLPMNT LNW - Developmental and Behavioral Pediatrics	221 Longwood Ave.	Boston	MA	Active
RRC220110-177	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ENDOCRINE AMB CLINIC BWH ENDOCRINE MENS LNW - Endocrinology	221 Longwood Ave.	Boston	MA	Active
RRC220110-179	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BMG AMBULATORY SERVICES BWH ENDOCRINE MED - Endocrinology	45 Francis St.	Boston	MA	Active
RRC220110-18	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SOUTHERN JAMAICA PLAIN HEALTH CENTER - SOUTHERN JAMAICA PLAIN H C INTERNAL MEDICINE	640 Centre St	Jamaica Plain	MA	Terminated
RRC220110-180	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ENDOCRINE AMB CLINIC BWH ENDOCRINE MED LNW - Endocrinology	221 Longwood Ave.	Boston	MA	Active
RRC220110-181	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OUTPATIENT CLINICAL NEUROLOGY BWH NEURO STROKE - Neurology	60 Fenwood Rd.	Boston	MA	Active
RRC220110-182	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ENDOCRINE AMB CLINIC BWH THYRD MED 221 LNW - Endocrinology	221 Longwood Ave.	Boston	MA	Active
RRC220110-183	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OUTPATIENT INFUSION SERVICE BWH AMB INFUSION - Infusion Therapy	60 Fenwood Rd.	Boston	MA	Active
RRC220110-184	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH B.P.G. @ 850 BOYLSTON BWH BPG POD 4 850 - Internal Medicine	850 Boylston Street	Chestnut Hill	MA	Active
RRC220110-185	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BBF 2 MSK ORTHOPEDICS BWH PAIN MGT ORTH HALE - Pain Medicine	60 Fenwood Rd.	Boston	MA	Active
RRC220110-186	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BMG AMBULATORY SERVICES BWH GENETICS MEDICINE - Genetics	45 Francis St.	Boston	MA	Active
RRC220110-187	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH PULM DYSPNEA WAT - Pulmonology	70 Francis St.	Boston	MA	Active
RRC220110-188	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH RHEUM CARDIO WAT - Rheumatology	70 Francis St.	Boston	MA	Active
RRC220110-189	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH DF/BWCC CANCER DIAGNOSTIC SERV BWH DIAGNOSTIC SVCS - Internal Medicine	45 Francis St.	Boston	MA	Active
RRC220110-19	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH PULM HYPER WAT	70 FRANCIS ST	Boston	MA	Active
RRC220110-190	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BBF 1 NEUROSURGERY BWH NEUROSURG MAIN - Neurosurgery	60 Fenwood Rd.	Boston	MA	Active
RRC220110-191	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OUTPATIENT CLINICAL NEUROLOGY BWH NEURO MVMT BOTOX - Neurology	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-192	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH STRUCTHEART MED - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-193	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH CARDIO ADULT CON - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-194	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH FXB SPECIALTY CLINICS BWH PHYSIATRY FXB - Physical Medicine and Rehabilitation	20 Patriot Pl.	Foxborough	MA	Active
RRC220110-195	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH MT PLEASANT PRIMARY CARE BWH GERONTLGY S HUNT - Gerontology	301 South Huntington Ave.	Jamaica Plain	MA	Active
RRC220110-196	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BMG AMBULATORY SERVICES BWH DIABETES MGT - Endocrinology	45 Francis St.	Boston	MA	Active
RRC220110-197	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH CENTER FOR CHEST DISEASE BWH PULM DYSPNEA - Pulmonology	15 Francis St.	Boston	MA	Active
RRC220110-198	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH FXB NUTRITION SERVICES BWH NUTRITION FXB - Nutrition	20 Patriot Pl.	Foxborough	MA	Active
RRC220110-199	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BMG AMBULATORY SERVICES BWH RENAL/PANC TRANSP - Nephrology	45 Francis St.	Boston	MA	Active
RRC220110-20	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH HEMATOLOGY WAT	70 FRANCIS ST	Boston	MA	Active
RRC220110-200	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OUTPATIENT CLINICAL NEUROLOGY BWH NEUROLOGY RES - Neurology	60 Fenwood Rd.	Boston	MA	Active
RRC220110-201	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH VASCULAR MED - Cardiology	70 Francis St.	Boston	MA	Active
RRC220110-202	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BWH AMB MAB INFUSION BWH OUTPATIENT INFUSION SERVICE Infusion Therapy	60 Fenwood Rd	Boston	MA	Terminated
RRC220110-203	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BWH NEURO MS SOCIAL WORK BWH MULTIPLE SCLEROSIS Psychiatry	60 Fenwood Rd	Boston	MA	Terminated
RRC220110-204	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BWH REHAB OT HAND 850 BWH REHAB SERVICES @ 850 BOYLSTON Occupational Therapy	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-205	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - BWH BCMA PSYCHIATRY BWH BRIGHAM CIRCLE MEDICAL ASSOC. Psychiatry	70 Francis St	Boston	MA	Terminated
RRC220110-206	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S / MASS GENERAL HEALTH CARE CENTER - BWH VASCULAR FXB BWH FXB VASCULAR DIAGNOSTIC LAB Cardiology	20 Patriot Pl	Foxborough	MA	Active
RRC220110-207	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN’S ADVANCED PRIMARY CARE ASSOCIATES - BWH PSYCH S HUNT BWH MT PLEASANT PRIMARY CARE Psychiatry	301 South Huntington Ave	Jamaica Plain	MA	Terminated
RRC220110-208	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BWH NEURO MVMT OSH 850 BWH OSHER CENTER Neurology	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-209	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S / MASS GENERAL HEALTH CARE CENTER - BWH CARDIAC REHAB FXB BWH FXB CARDIAC REHAB Cardiac Rehabilitation	20 Patriot Pl	Foxborough	MA	Active
RRC220110-21	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WATKINS CARDIOVASCULAR CLINIC BWH DIABETES MGT WAT	70 FRANCIS ST	Boston	MA	Terminated
RRC220110-210	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BWH AMB RESPIR HALE BWH PRIMARY CARE CENTRAL Internal Medicine	60 Fenwood Rd	Boston	MA	Terminated
RRC220110-211	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S / MASS GENERAL HEALTH CARE CENTER - BWH REHAB OT FXB BWH FXB REHAB SERVICES Occupational Therapy	20 Patriot Pl	Foxborough	MA	Active
RRC220110-212	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH WOMENS HEALTH BWH BMG AMBULATORY SERVICES Internal Medicine	45 Francis St	Boston	MA	Active
RRC220110-213	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BWH ECHO 850 BWH NONINVASIVE CARDIAC Cardiology	850 Boylston St	Chestnut Hill	MA	Terminated
RRC220110-214	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S / MASS GENERAL HEALTH CARE CENTER - BWH REHAB WELLNESS FXB BWH FXB WELLNESS Wellness	20 Patriot Pl.	Foxborough	MA	Terminated
RRC220110-215	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - BWH-REHAB OP OT HAND BWH O/P REHAB Occupational Therapy	70 Francis St	Boston	MA	Active
RRC220110-216	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH RENAL BP MNT BWH BMG AMBULATORY SERVICES Cardiology	45 Francis St	Boston	MA	Active
RRC220110-217	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S / MASS GENERAL HEALTH CARE CENTER - BWH ECHO FXB BWH FXB NONINVASIVE CARDIAC Cardiology	20 Patriot Pl	Foxborough	MA	Active
RRC220110-218	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BWH PULMONARY WHC 850 BWH WOMEN'S HEALTH/FISH CENTER Pulmonology	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-219	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH KIDNEYPAL PROGRAM BWH BMG AMBULATORY SERVICES Palliative Care	45 Francis St	Boston	MA	Active
RRC220110-22	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - WATKINS CARDIOVASCULAR CLINIC CARDIOLOGY	70 FRANCIS ST	Boston	MA	Terminated
RRC220110-220	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - BWH HEARTPAL PROGRAM BWH WATKINS CARDIOVASCULAR CLINIC Palliative Care	70 Francis St	Boston	MA	Active
RRC220110-221	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BWH NEUROPSYCH OSH 850 BWH OSHER CENTER Psychiatry	850 Boylston St	Chestnut Hill	MA	Terminated
RRC220110-222	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH DERM PHOTO LNW BWH DERMATOLOGY - CLINICAL Dermatology	221 Longwood Ave	Boston	MA	Active
RRC220110-223	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - BWH CARDIO DVCE MNT BWH WATKINS CARDIOVASCULAR CLINIC Cardiology	70 Francis St	Boston	MA	Active
RRC220110-224	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH BONE DEN SKLTL LNW BWH ENDOCRINE AMB CLINIC Endocrinology	221 Longwood Ave	Boston	MA	Active
RRC220110-225	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BWH NEUROPSYCH MS BWH MULTIPLE SCLEROSIS Psychiatry	60 Fenwood Rd	Boston	MA	Terminated
RRC220110-226	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH PFT LAB BWH PULMONARY FUNCTION LABORATORY Pulmonology	15 Francis St	Boston	MA	Active
RRC220110-227	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BWH NUTR CROHNS 850 BWH OUTPATIENT NUTRITION Nutrition	850 Boylston St	Chestnut Hill	MA	Terminated
RRC220110-228	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - BWH CARDIO WATKINS EKG BWH WATKINS CARDIOVASCULAR CLINIC Cardiology	70 Francis St	Boston	MA	Active
RRC220110-229	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH PATH FINE NDL ASP BWH BMG AMBULATORY SERVICES Pathology	45 Francis St	Boston	MA	Active
RRC220110-23	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH NONINVASIVE CARDIAC BWH ECHO	70 FRANCIS ST	Boston	MA	Active
RRC220110-230	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH GENOMIC MED BWH BMG AMBULATORY SERVICES Genetics	45 Francis St	Boston	MA	Active
RRC220110-231	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH PSYCH INF DIS BWH BMG AMBULATORY SERVICES Psychiatry	45 Francis St	Boston	MA	Active
RRC220110-232	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BWH REHAB OT ORTH HALE BWH O/P REHAB Occupational Therapy	60 Fenwood Rd	Boston	MA	Terminated
RRC220110-233	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH WGHT MGMT ENDO LNW BWH ENDOCRINE AMB CLINIC Endocrinology	221 Longwood Ave	Boston	MA	Active
RRC220110-234	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH ENDOC BP MNT LNW BWH ENDOCRINE AMB CLINIC Cardiology	221 Longwood Ave	Boston	MA	Active
RRC220110-235	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S / MASS GENERAL HEALTH CARE CENTER - BWH REHAB SP SW FXB BWH SPEECH/VOICE THERAPY Speech Therapy	20 Patriot Pl	Foxborough	MA	Active
RRC220110-236	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BWH NEURO HEAD WHC 850 BWH WOMEN'S HEALTH/FISH CENTER Neurology	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-237	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BWH SLEEP MED WHC 850 BWH WOMEN'S HEALTH/FISH CENTER Sleep Medicine	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-238	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BWH WOMNS HLTH WHC 850 BWH WOMEN'S HEALTH/FISH CENTER Internal Medicine	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-239	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - BWH GENETICS WATKINS BWH WATKINS CARDIOVASCULAR CLINIC Genetics	70 Francis St	Boston	MA	Active
RRC220110-24	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - CARDIAC REHAB CARDIOLOGY	70 FRANCIS ST	Boston	MA	Terminated
RRC220110-240	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH COVID RECOVERY BWH CENTER FOR CHEST DISEASE Pulmonology	15 Francis St	Boston	MA	Active
RRC220110-241	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BWH HEMATOLOGY WHC 850 BWH WOMEN'S HEALTH/FISH CENTER Hematology	850 Boylston St.	Chestnut Hill	MA	Active
RRC220110-242	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BWH NSG PHYSIATRY HALE BWH BBF 1 NEUROSURGERY Neurosurgery	60 Fenwood Rd	Boston	MA	Active
RRC220110-243	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BWH NEURO OB BWH OUTPATIENT CLINICAL NEUROLOGY Neurology	60 Fenwood Rd	Boston	MA	Terminated
RRC220110-244	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BWH NUTRITION 850 BWH OUTPATIENT NUTRITION Nutrition	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-245	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH HEPATOLOGY MED BWH BMG AMBULATORY SERVICES Gastroenterology	45 Francis St	Boston	MA	Active
RRC220110-246	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BWH TMS HALE BWH TMS PROC HALE Psychiatry	60 Fenwood Rd	Boston	MA	Terminated
RRC220110-247	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH ADMITTING TEST CENTER BWH SURG OPTIM CLINIC Pre-Admission Evaluation	45 Francis St	Boston	MA	Terminated
RRC220110-248	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH BMG AMBULATORY SERVICES BWH ALLERGY BMS Allergy and Immunology	45 Francis St	Boston	MA	Active
RRC220110-249	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH CENTER FOR CHEST DISEASE BWH NEURO GEN PBB Neurology	15 Francis St	Boston	MA	Active
RRC220110-25	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WOMEN'S HEALTH/FISH CENTER BWH RHEUM WHC 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-250	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BROOKSIDE COMMUNITY HEALTH CENTER - BWH BROOKSIDE PARK F L C BWH NEPHROLOGY BCH Nephrology	3297 Washington St	Jamaica Plain	MA	Active
RRC220110-251	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BROOKSIDE COMMUNITY HEALTH CENTER - BWH BROOKSIDE PARK F L C BWH URG MOBILE TESTING Internal Medicine	1337 Hyde Park Ave	Hyde Park	MA	Active
RRC220110-252	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BWH OUTPATIENT CLINICAL NEUROLOGY BWH NEURO OB Neurology	60 Fenwood Rd	Boston	MA	Active
RRC220110-254	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BWH MULTIPLE SCLEROSIS BWH NEURO GILEN MS Neurology	60 Fenwood Rd	Boston	MA	Terminated
RRC220110-255	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH BMG AMBULATORY SERVICES BWH WGHT MGMT ENDO Endocrinology	45 Francis St	Boston	MA	Terminated
RRC220110-256	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - BWH WATKINS CARDIOVASCULAR CLINIC BWH CARDIO RHEUM Rheumatology	70 Francis St	Boston	MA	Active
RRC220110-259	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BWH TMS HALE BWH TMS PROC HALE Psychiatry	60 Fenwood Rd	Boston	MA	Active
RRC220110-26	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - LUNG TRANSPLANT CLINIC PULMONOLOGY	45 FRANCIS ST	Boston	MA	Terminated
RRC220110-261	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BWH AMBULATORY PSYCHIATRY BWH PSYCH TICI LNW Psychiatry	221 Longwood Ave	Boston	MA	Terminated
RRC220110-263	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BROOKSIDE COMMUNITY HEALTH CENTER - BWH BROOKSIDE PARK F L C BWH COVID VACC BCH Medical Walk In	3297 Washington St	Jamaica Plain	MA	Terminated
RRC220110-264	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BROOKSIDE COMMUNITY HEALTH CENTER - BWH BROOKSIDE PARK F L C BWH DENTAL BCH Dentistry	3297 Washington St	Jamaica Plain	MA	Terminated
RRC220110-27	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BBF 1 NEUROSURGERY BWH ENDO NEUROSURG	60 FENWOOD RD	Boston	MA	Active
RRC220110-28	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BBF 2 MSK ORTHOPEDICS BWH ORTHOPAEDICS HALE	60 FENWOOD RD	Boston	MA	Active
RRC220110-29	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH SPECIALTY SERVICES @ 850 BOYLSTON BWH DERM ASSOC 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-30	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BPS @75 FRANCIS BWH PSYCHIATRY HALE	60 FENWOOD RD	Boston	MA	Active
RRC220110-31	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OUTPATIENT CLINICAL NEUROLOGY BWH NEURO OPHT	60 FENWOOD RD	Boston	MA	Active
RRC220110-32	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH RHEUMATOLOGY CLINIC BWH RHEUM ARTHR	60 FENWOOD RD	Boston	MA	Active
RRC220110-33	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - ENDOCRINE AMB CLINIC ENDOCRINOLOGY	221 LONGWOOD	Boston	MA	Terminated
RRC220110-34	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH DERMATOLOGY - CLINICAL BWH DERM 221 LNW	221 LONGWOOD	Boston	MA	Active
RRC220110-35	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - OUTPATIENT INFUSION SERVICE INFUSION THERAPY	60 FENWOOD RD	Boston	MA	Terminated
RRC220110-36	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OSHER CENTER BWH PULMONARY OSH 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-37	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WOMEN'S HEALTH/FISH CENTER BWH OBGYN WHC 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-38	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH ALLERGY CLINIC BWH ALLERGY HALE	60 FENWOOD RD	Boston	MA	Active
RRC220110-39	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - MULTIPLE SCLEROSIS NEUROLOGY	60 FENWOOD RD	Boston	MA	Terminated
RRC220110-40	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH AMBULATORY PSYCHIATRY BWH PSYCH 221 LNW	221 LONGWOOD	Boston	MA	Active
RRC220110-41	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH CONTINENCE CENTER FOR WOMEN BWH OBGYN UROGYN MN	500 BROOKLINE AVE	Boston	MA	Active
RRC220110-42	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WOUND CARE CLINIC BWH WOUND CARE	45 FRANCIS ST	Boston	MA	Active
RRC220110-43	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WOMEN'S HEALTH/FISH CENTER BWH DERM WHC 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-44	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH MOHS CLINIC FAULKNER BWH DERM MOHS FH	1153 CENTRE STREET	Jamaica Plain	MA	Active
RRC220110-45	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WOMEN'S HEALTH/FISH CENTER BWH INFECT DIS WHC 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-46	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WOMEN'S HEALTH/FISH CENTER BWH ENDO WHC 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-47	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - OUTPATIENT CLINICAL NEUROLOGY NEUROLOGY	60 FENWOOD RD	Boston	MA	Terminated
RRC220110-48	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BMG AMBULATORY SERVICES BWH GASTRO MED	45 FRANCIS ST	Boston	MA	Active
RRC220110-49	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BMG AMBULATORY SERVICES TRAVEL MEDICINE	15 FRANCIS ST	Boston	MA	Terminated
RRC220110-50	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH RHEUMATOLOGY CLINIC BWH NEURO RHEUM	60 FENWOOD RD	Boston	MA	Active
RRC220110-51	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH MT PLEASANT PRIMARY CARE BWH S HUNT MAIN JPB	301 SOUTH HUNTINGTON AVE	Jamaica Plain	MA	Active
RRC220110-52	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S / MASS GENERAL HEALTH CARE CENTER - ANESTHESIA TECHNICAL SERVICES	20 Patriot Pl	Foxborough	MA	Terminated
RRC220110-53	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S / MASS GENERAL HEALTH CARE CENTER - FOXBORO UCC URGENT CARE	20 Patriot Pl	Foxborough	MA	Terminated
RRC220110-54	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH 850 INFUSION BWH INFUSION 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-55	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH 850 PC AT FISH CENTER BWH WHC INTMED 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-56	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WOMEN'S HEALTH/FISH CENTER BWH NEUROLOGY WHC 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-57	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WOMEN'S HEALTH/FISH CENTER BWH CARDIO WHC 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-58	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH WOMEN'S HEALTH/FISH CENTER BWH GI MED WHC 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-59	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BROOKSIDE COMMUNITY HEALTH CENTER - BROOKSIDE PARK F L C PSYCHIATRY	3297 Washington St	Jamaica Plain	MA	Terminated
RRC220110-60	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BBF 1 NEUROSURGERY NEUROSURGERY	60 FENWOOD RD	Boston	MA	Terminated
RRC220110-61	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BROOKSIDE PARK F L C BWH GYN BCH	3297 Washington St	Jamaica Plain	MA	Active
RRC220110-62	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BOGG 500 BROOKLINE BWH BOGG 500 BRK	500 BROOKLINE AVE	Boston	MA	Active
RRC220110-63	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BEHAVIOR HEALTH - 850 BOYLSTON BWH PSYCH 850	850 Boylston St	Chestnut Hill	MA	Active
RRC220110-64	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BROOKSIDE COMMUNITY HEALTH CENTER - BROOKSIDE PARK F L C INTERNAL MEDICINE	3297 Washington St	Jamaica Plain	MA	Terminated
RRC220110-65	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BROOKSIDE PARK F L C BWH PEDIATRIC MED BCH	3297 Washington St	Jamaica Plain	MA	Active
RRC220110-66	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BROOKSIDE PARK F L C BWH CARDIOLOGY BCH	3297 Washington St	Jamaica Plain	MA	Active
RRC220110-67	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BROOKSIDE PARK F L C BWH CNM OBGYN BCH	3297 Washington St	Jamaica Plain	MA	Active
RRC220110-68	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH BROOKSIDE PARK F L C BWH FAMILY MEDICAL BCH	3297 Washington St	Jamaica Plain	MA	Active
RRC220110-69	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH CENTER FOR CHEST DISEASE BWH PULM RESP	15 Francis St.	Boston	MA	Active
RRC220110-70	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BMG AMBULATORY SERVICES Internal Medicine	15 Francis St.	Boston	MA	Terminated
RRC220110-71	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S / MASS GENERAL HEALTH CARE CENTER - FOXBORO UCC General Surgery	20 Patriot Pl.	Foxborough	MA	Terminated
RRC220110-72	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - BMG AMBULATORY SERVICES Gerontology	45 Francis St.	Boston	MA	Terminated
RRC220110-73	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH OUTPATIENT NUTRITION BWH NUTRITION PBB2	45 Francis St.	Boston	MA	Active
RRC220110-74	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - PAIN CLINIC Pain Medicine	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-75	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BMG AMBULATORY SERVICES Neurology	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-76	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BBF 2 MSK ORTHOPEDICS Neurology	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-77	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - PAIN CLINIC Neurosurgery	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-78	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - PAIN CLINIC Neurology	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-79	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - BBF 2 MSK ORTHOPEDICS Pain Medicine	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-80	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - ANESTHESIA TECHNICAL SERVICES Neurology	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-81	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - DAY SURGERY Nuclear Medicine	70 Francis St.	Boston	MA	Terminated
RRC220110-82	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - INTERNATIONAL CLINIC CENTER Cardiology	70 Francis St.	Boston	MA	Terminated
RRC220110-83	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - ANESTHESIA TECHNICAL SERVICES Nuclear Medicine	70 Francis St.	Boston	MA	Terminated
RRC220110-84	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	SHAPIRO BUILDING - BIMA Cardiology	70 Francis St.	Boston	MA	Terminated
RRC220110-85	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - WOMEN'S HEALTH/FISH CENTER Internal Medicine	850 Boylston St.	Chestnut Hill	MA	Terminated
RRC220110-86	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - PAIN CLINIC Pain Medicine	850 Boylston St.	Chestnut Hill	MA	Terminated
RRC220110-87	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S / MASS GENERAL HEALTH CARE CENTER - CROSS SECTIONAL INTERVENTIONAL RADIOLOGY( CSIR) Pain Medicine	850 Boylston St.	Chestnut Hill	MA	Terminated
RRC220110-88	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BRIGHAM OBGYN GROUP Obstetrics and Gynecology	850 Boylston St.	Chestnut Hill	MA	Terminated
RRC220110-89	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - BMG AMBULATORY SERVICES Pulmonology	850 Boylston St.	Chestnut Hill	MA	Terminated
RRC220110-90	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BWH B.P.G. @ 850 BOYLSTON BWH BPG 850	850 Boylston St.	Chestnut Hill	MA	Active
RRC220110-91	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - WOMEN'S HEALTH/FISH CENTER Nephrology	850 Boylston St.	Chestnut Hill	MA	Terminated
RRC220110-92	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CENTER - WOMEN'S HEALTH/FISH CENTER Obstetrics and Gynecology	850 Boylston St.	Chestnut Hill	MA	Terminated
RRC220110-93	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - OUTPATIENT INFUSION SERVICE Neurology	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-94	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CEN - 850 INFUSION Pain Medicine	850 BOYLSTON ST, SUITES 100,102B,200,201,202, 301	CHESTNUT HILL	MA	Terminated
RRC220110-95	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CEN - FXB RADIOLOGY DX AMBULATORY Pain Medicine	850 BOYLSTON ST, SUITES 100,102B,200,201,202, 301	CHESTNUT HILL	MA	Terminated
RRC220110-96	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - MULTIPLE SCLEROSIS Infusion Therapy	60 Fenwood Rd.	Boston	MA	Terminated
RRC220110-97	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HEALTH CARE CEN - RADIOLOGY - DIAGNOSTIC Pain Medicine	850 BOYLSTON ST, SUITES 100,102B,200,201,202, 301	CHESTNUT HILL	MA	Terminated
RRC220110-98	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	BRIGHAM AND WOMEN'S HOSPITAL - OUTPATIENT INFUSION SERVICE Endocrinology	221 Longwood Ave	Boston	MA	Terminated
RRC220110-99	Child	RRC	BRIGHAM AND WOMENS HOSPITAL	HALE BUILDING - ALLERGY CLINIC AT 850 Infusion Therapy	60 Fenwood Rd.	Boston	MA	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	9/6/2023 11:48:56 AM	9/5/2024 11:47:20 AM	9/5/2024 11:47 AM
Contacts	Primary Contact	Update	PC Change Request	Nehme, Rafic Enterprise Director Brigham and Women's Hospital - Boston, MA 6177255126	Nehme, Rafic Director, Pharmacy Business & Finance Massachusetts General Hospital 6177265125	4/16/2024 8:41 AM
Contacts	Primary Contact	Update	Change Request	Fanikos, John Executive Director of Pharmacy Services Brigham and Women’s Hospital 6177327165	Nehme, Rafic Enterprise Director Brigham and Women's Hospital - Boston, MA 6177255126	3/26/2024 8:12 AM
Details	Last Recertification Date	Update	Recertification	9/9/2022 10:32:33 AM	9/6/2023 11:48:56 AM	9/6/2023 11:48 AM
Contacts	Authorizing Official	Update	Profile Change Request	McKinnon, Garrett Interim Chief Financial Officer Brigham and Women's Hospital - Boston, MA 8572824406	McKinnon, Garrett Vice President of Finance Brigham and Women's Hospital - Boston, MA 8572824406	7/18/2023 11:55 AM
Details	Last Recertification Date	Update	Recertification	9/1/2021 2:12:58 PM	9/9/2022 10:32:33 AM	9/9/2022 10:32 AM
Contacts	Authorizing Official	Update	Change Request	Dunleavy, Christopher Chief Financial Officer Brigham and Women’s Hospital 6177327899	McKinnon, Garrett Interim Chief Financial Officer Brigham and Women's Hospital - Boston, MA 8572824406	11/5/2021 1:15 PM
Details	Last Recertification Date	Update	Recertification	9/10/2020 2:23:36 PM	9/1/2021 2:12:58 PM	9/1/2021 2:12 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1790717650 ( )		9/10/2020 2:23 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1790717650	9/10/2020 2:23 PM
Medicaid Billing	NPI: State	Insert	Recertification		MA	9/10/2020 2:23 PM
Details	Last Recertification Date	Update	Recertification		9/10/2020 2:23:36 PM	9/10/2020 2:23 PM
Details	State	Update		Approved	Active	7/1/2020 12:00 AM
Contacts	Signed By	Insert	New Registration		Dunleavy, Christopher Chief Financial Officer Brigham and Women’s Hospital 6177327899	6/8/2020 2:07 PM
Details	340B ID	Update	New Registration		RRC220110-131	6/8/2020 2:07 PM
Details	Entity Subname	Update	New Registration	BWH WATKINS CARDIOVASCULAR CLINIC BWH RAD CSIR CLINIC	BWH WATKINS CARDIOVASCULAR CLINIC BWH RAD CSIR CLINIC - Interventional Radiology	6/8/2020 2:07 PM
Dates	Participating Approval Date	Update	New Registration		6/8/2020 2:07:42 PM	6/8/2020 2:07 PM
Details	State	Update	New Registration	Pending	Approved	6/8/2020 2:07 PM
Dates	Signed By Date	Update	New Registration		4/10/2020 12:32:01 PM	6/8/2020 2:07 PM
Dates	Start Date	Update	New Registration		7/1/2020 12:00:00 AM	6/8/2020 2:07 PM
Addresses	Main Address	Insert	New Registration		70 Francis St. Boston, MA 02115	4/10/2020 11:10 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/10/2020 11:10 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		110022076C	4/10/2020 11:10 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		MA	4/10/2020 11:10 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1790717650	4/10/2020 11:10 AM
Contacts	Authorizing Official	Insert	New Registration		Dunleavy, Christopher Chief Financial Officer Brigham and Women’s Hospital 6177327899	4/10/2020 11:10 AM
Contacts	Primary Contact	Insert	New Registration		Fanikos, John Executive Director of Pharmacy Services Brigham and Women’s Hospital 6177327165	4/10/2020 11:10 AM
Details	Last Recertification Date	Insert	New Registration			4/10/2020 11:10 AM
Details	Grant Number	Insert	New Registration			4/10/2020 11:10 AM
Details	340B ID	Insert	New Registration			4/10/2020 11:10 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/10/2020 11:10 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/10/2020 11:10 AM
Details	Medicare Provider Number	Insert	New Registration		220110	4/10/2020 11:10 AM
Details	Entity Name	Insert	New Registration		BRIGHAM AND WOMENS HOSPITAL	4/10/2020 11:10 AM
Details	Program Code	Insert	New Registration		RRC	4/10/2020 11:10 AM
Details	Entity Subname	Insert	New Registration		BWH WATKINS CARDIOVASCULAR CLINIC BWH RAD CSIR CLINIC	4/10/2020 11:10 AM
Dates	Participating Approval Date	Insert	New Registration			4/10/2020 11:10 AM
Details	State	Insert	New Registration		Pending	4/10/2020 11:10 AM
Dates	Registration Date	Insert	New Registration		4/10/2020 11:10:36 AM	4/10/2020 11:10 AM
Dates	Signed By Date	Insert	New Registration			4/10/2020 11:10 AM
Dates	Start Date	Insert	New Registration			4/10/2020 11:10 AM
Terminations	Termination Comments	Insert	New Registration			4/10/2020 11:10 AM
Terminations	Termination Date	Insert	New Registration			4/10/2020 11:10 AM
Terminations	Termination Effective Date	Insert	New Registration			4/10/2020 11:10 AM
Terminations	Termination Reason	Insert	New Registration			4/10/2020 11:10 AM