MEDICARE: UHS OF FULLER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	2084P0800X	Psychiatry Physician
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
5	283Q00000X	Psychiatric Hospital	689	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316917222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UHS OF FULLER INC

Provider Business Mailing Address
First Line	:	200 MAY ST
Second Line	:
City	:	S ATTLEBORO
State	:	MA
Zip	:	02703-5520
Country	:	US
Telephone Number	:	508-761-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MAY ST
Second Line	:
City	:	S ATTLEBORO
State	:	MA
Zip	:	02703-5520
Country	:	US
Telephone Number	:	508-761-8500
Fax Number	:

Authorized Official
Title or Position	:	CFO/ SR VP
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-768-3300

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	09/12/2024

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Directions to “UHS OF FULLER INC ” Practice Location

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