Healthcare Provider Details

I. General information

NPI: 1093793036
Provider Name (Legal Business Name): EMERSON HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 OLD ROAD TO 9 ACRE COR JOHN CUMING BUILDING, SUITE 710
CONCORD MA
01742-4181
US

IV. Provider business mailing address

133 OLD ROAD TO 9 ACRE COR
CONCORD MA
01742-4159
US

V. Phone/Fax

Practice location:
  • Phone: 978-287-3533
  • Fax: 978-287-2902
Mailing address:
  • Phone: 978-369-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number175359
License Number StateMA

VIII. Authorized Official

Name: MS. CHRISTINE SCHUSTER
Title or Position: CEO
Credential: RN
Phone: 978-287-3120