Healthcare Provider Details

I. General information

NPI: 1114259116
Provider Name (Legal Business Name): FRANCISCAN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2010
Last Update Date: 02/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 WARREN ST
BOSTON MA
02135-3602
US

IV. Provider business mailing address

30 WARREN ST
BOSTON MA
02135-3602
US

V. Phone/Fax

Practice location:
  • Phone: 617-254-3800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE SOLOMON
Title or Position: SCHOOL SOCIAL WORKER
Credential: LCSW
Phone: 617-254-3800