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Massachusetts Department of Public Health fax number

(617) 753-8165

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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

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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.

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