Healthcare Provider Details

I. General information

NPI: 1982859773
Provider Name (Legal Business Name): SAINTS MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2008
Last Update Date: 11/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR ATTN: STEPHEN O'CONNOR, CFO
LOWELL MA
01852-1311
US

IV. Provider business mailing address

1 HOSPITAL DR P O BOX 30
LOWELL MA
01852-1311
US

V. Phone/Fax

Practice location:
  • Phone: 978-458-1411
  • Fax: 978-446-2724
Mailing address:
  • Phone: 978-458-1411
  • Fax: 978-446-2724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN O'CONNOR
Title or Position: CFO
Credential:
Phone: 978-458-1411