Basic Information
| Provider Information | |||||||||
| NPI: | 1598053472 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MORTON HOSPITAL, A STEWARD FAMILY HOSPITAL, INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | MORTON HOSPITAL | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 88 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | TAUNTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027802465 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088287000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 88 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | TAUNTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027802465 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088287000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2011 | ||||||||
| LastUpdateDate: | 03/18/2014 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | COLLINS | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | FRANCIS | ||||||||
| AuthorizedOfficialTitleorPosition: | STEWARD HOSPITAL CFO | ||||||||
| AuthorizedOfficialTelephone: | 6174194869 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | STEWARD MEDICAL HOLDINGS LLC | ||||||||
| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | 110090103A | 05 | MA | MEDICAID |