1235431032 NPI number — STEWARD ST. ANNE'S HOSPITAL CORPORATION

Table of content: (NPI 1235431032)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235431032 NPI number — STEWARD ST. ANNE'S HOSPITAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STEWARD ST. ANNE'S HOSPITAL CORPORATION
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:
1235431032
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/30/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
795 MIDDLE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FALL RIVER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02721-1733
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-674-5600
Provider Business Mailing Address Fax Number:
617-562-7241

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
306 OSBORN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FALL RIVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02724-3411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-235-5355
Provider Business Practice Location Address Fax Number:
508-324-9801
Provider Enumeration Date:
11/30/2010

Additional Information

Authorized Official

Authorized Official Last Name:
RICH
Authorized Official First Name:
MARK
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
617-789-2706

Provider Taxonomy Codes

  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com