Healthcare Provider Details

I. General information

NPI: 1356384101
Provider Name (Legal Business Name): VHS ACQUISITION SUBSIDIARY NUMBER 9 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 06/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 UNION ST
NATICK MA
01760-7700
US

IV. Provider business mailing address

20 BURTON HILLS BLVD SUITE 100, ATTENTION, SUSAN VAUGHAN
NASHVILLE TN
37215-6154
US

V. Phone/Fax

Practice location:
  • Phone: 508-383-1012
  • Fax: 508-383-1011
Mailing address:
  • Phone: 615-665-6000
  • Fax: 615-665-6197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES H. SPALDING
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 615-665-6000