Healthcare Provider Details

I. General information

NPI: 1679657837
Provider Name (Legal Business Name): CARITAS CARNEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 02/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 DORCHESTER AVE CARITAS CARNEY HOSPITAL
DORCHESTER CENTER MA
02124-5615
US

IV. Provider business mailing address

795 MIDDLE ST SAINT ANNE'S HOSPITAL
FALL RIVER MA
02721-1733
US

V. Phone/Fax

Practice location:
  • Phone: 617-296-4000
  • Fax:
Mailing address:
  • Phone: 508-674-5741
  • Fax: 508-235-5330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: ROBERT GUYON
Title or Position: CFO
Credential:
Phone: 617-789-2204