Healthcare Provider Details

I. General information

NPI: 1063532349
Provider Name (Legal Business Name): HARRINGTON MEMORIAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SOUTH ST
SOUTHBRIDGE MA
01550-4051
US

IV. Provider business mailing address

100 SOUTH ST
SOUTHBRIDGE MA
01550-4051
US

V. Phone/Fax

Practice location:
  • Phone: 508-765-9771
  • Fax: 508-764-2490
Mailing address:
  • Phone: 508-765-9771
  • Fax: 508-764-2490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number717
License Number StateMA

VIII. Authorized Official

Name: MR. RICHARD M MANGION
Title or Position: PRESIDENT & CEO
Credential:
Phone: 508-765-9771