Healthcare Provider Details

I. General information

NPI: 1073021986
Provider Name (Legal Business Name): MORTON HOSPITAL, A STEWARD FAMILY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 01/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 WASHINGTON ST
TAUNTON MA
02780-2465
US

IV. Provider business mailing address

30 PERWAL ST
WESTWOOD MA
02090-1928
US

V. Phone/Fax

Practice location:
  • Phone: 508-828-7881
  • Fax:
Mailing address:
  • Phone: 781-375-3308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number2022
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAULA A WYMAN
Title or Position: CORP DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 781-375-3308