Healthcare Provider Details

I. General information

NPI: 1851559090
Provider Name (Legal Business Name): CARITAS CHRISTI PHYSICIANS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 MIDDLE ST
FALL RIVER MA
02721-1733
US

IV. Provider business mailing address

795 MIDDLE ST
FALL RIVER MA
02721-1733
US

V. Phone/Fax

Practice location:
  • Phone: 508-675-5640
  • Fax: 508-674-4626
Mailing address:
  • Phone: 508-675-5640
  • Fax: 508-674-4626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number164610
License Number StateMA

VIII. Authorized Official

Name: JUDITH M. HARRISON
Title or Position: NURSE PRACTITIONER
Credential: ANP
Phone: 508-675-5640