Summary of Hospital Responses FY 2014 VERIFICATION RESPONSE TRACKING LOG DATE DATE HOSPITAL DISCREPANCY ORG NAME ORG ID SUBMIT RESUBMIT RESPONSE CODE 25 Highland Anna Jaques Ave 1 9/8/15 A Newburyport, Hospital MA 01950 2033 Main Athol Street Memorial 2 10/20/15 A Athol, MA Hospital 01331 Baystate 164 High Street Franklin Greenfield, MA 5 9/15/15 A Medical Center Baystate 85 South Street Mary Lane Ware, MA 6 9/15/15 A Hospital 01082 759 Chestnut St Baystate Medical Springfield, 4 9/15/15 A MA 01199 Center Berkshire Medical 725 Street Pittsfield, MA., 6309 9/14/15 A Center – Berkshire 01201 Campus Beth Israel 148 Chestnut Deaconess Street 53 9/14/15 A Hospital Needham, MA – Needham 02192 Beth Israel 330 Brookline Deaconess Avenue Medical 8702 9/2/15 A Boston, MA Center - East 02215 Campus
Summary of Hospital Responses FY 2014 VERIFICATION RESPONSE TRACKING LOG ORG NAME ORG ID DATE SUBMIT DATE RESUBMIT HOSPITAL RESPONSE DISCREPANCY CODE Anna Jaques Hospital 25 Highland Ave Newburyport, MA 01950 1 9/8/15 A Athol Memorial Hospital 2033 Main Street Athol, MA 01331 2 10/20/15 A Baystate Franklin Medical Center 164 High Street Greenfield, MA 5 9/15/15 A Baystate Mary Lane Hospital 85 South Street Ware, MA 01082 6 9/15/15 A Baystate Medical Center 759 Chestnut St Springfield, MA 01199 4 9/15/15 A Berkshire Medical Center – Berkshire Campus 725 Street Pittsfield, MA., 01201 6309 9/14/15 A Beth Israel Deaconess Hospital – Needham 148 Chestnut Street Needham, MA 02192 53 9/14/15 A Beth Israel Deaconess Medical Center - East Campus 330 Brookline Avenue Boston, MA 02215 8702 9/2/15 A