Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Massachusetts Department of Public Health before sending sensitive documents. FaxFlow is not affiliated with this organization.

Governmenthigh confidence

Massachusetts Department of Public Health fax number

(617) 753-8165

Division of Health Care Facility Licensure and Certification (DHCFLC); Bureau of Health Care Safety and Quality (BHCSQ)

Used for: Health care facility licensure, facility reporting, and complaint intake; hospital reporting

Fax destination details

Department
Division of Health Care Facility Licensure and Certification (DHCFLC); Bureau of Health Care Safety and Quality (BHCSQ)
Purpose
Health care facility licensure, facility reporting, and complaint intake; hospital reporting
Form
Hospital Fax Report Form — Hospital Fax Report Form
Address
67 Forest St., Marlborough, MA 01752
Voice phone
617-753-8000

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fax the completed report to the Department of Public Health's Division of Health Care Facility Licensure and Certification at 617-753-8165. Use for facility reporting or complaints as directed.

Review official form instructions

Sources and verification

FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.

No public source link was saved with this record. Confirm the number directly with the organization before using it.