Healthcare Provider Details

I. General information

NPI: 1053450684
Provider Name (Legal Business Name): FRANCISCAN HOSPITAL FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/22/2020
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: 617-779-1109
Mailing address:
  • Phone: 617-254-3800
  • Fax: 617-779-1109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateMA

VIII. Authorized Official

Name: PAUL DELLAROCCO
Title or Position: PRESIDENT
Credential:
Phone: 617-254-3800