Provider Demographics
NPI:1467709261
Name:REGIS COLLEGE
Entity Type:Organization
Organization Name:REGIS COLLEGE
Other - Org Name:REGIS COMMUNITY HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF HEALTH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:781-768-7291
Mailing Address - Street 1:235 WELLESLEY ST
Mailing Address - Street 2:BOX 11
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1571
Mailing Address - Country:US
Mailing Address - Phone:781-768-7290
Mailing Address - Fax:781-769-7288
Practice Address - Street 1:235 WELLESLEY ST
Practice Address - Street 2:BOX 11
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-1545
Practice Address - Country:US
Practice Address - Phone:781-768-7290
Practice Address - Fax:781-769-7288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN236573390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty