Healthcare Provider Details

I. General information

NPI: 1851418222
Provider Name (Legal Business Name): HARRINGTON MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 02/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 PINE ST
SOUTHBRIDGE MA
01550-1823
US

IV. Provider business mailing address

29 PINE ST
SOUTHBRIDGE MA
01550-1823
US

V. Phone/Fax

Practice location:
  • Phone: 508-765-2233
  • Fax: 508-764-2462
Mailing address:
  • Phone: 508-765-2233
  • Fax: 508-764-2462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number231265
License Number StateMA

VIII. Authorized Official

Name: MR. DONALD PAUL BRECHNER
Title or Position: VO OF BEHAVIORAL HEALTH
Credential: MA
Phone: 508-765-2233