1235322777 NPI number — ST ANNES HOSPITAL

Table of content: DEBORAH HOWE (NPI 1750706115)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235322777 NPI number — ST ANNES HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST ANNES HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235322777
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
191 BEDFORD ST
Provider Second Line Business Mailing Address:
4TH FLOOR
Provider Business Mailing Address City Name:
FALL RIVER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02720-3011
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-235-5782
Provider Business Mailing Address Fax Number:
508-235-5786

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
191 BEDFORD ST
Provider Second Line Business Practice Location Address:
4TH FLOOR
Provider Business Practice Location Address City Name:
FALL RIVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02720-3011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-235-5782
Provider Business Practice Location Address Fax Number:
508-235-5786
Provider Enumeration Date:
08/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HASKELL
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
J
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
401-624-9030

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3031173 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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