Provider Demographics
NPI:1598801425
Name:CARITAS NORWOOD HOSPITAL
Entity Type:Organization
Organization Name:CARITAS NORWOOD HOSPITAL
Other - Org Name:CARITAS NORWOOD EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF AMBULANCE SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DACKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-769-6210
Mailing Address - Street 1:800 WASHINGTON ST
Mailing Address - Street 2:AMBULANCE SERVICES
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3487
Mailing Address - Country:US
Mailing Address - Phone:781-769-6210
Mailing Address - Fax:781-769-5385
Practice Address - Street 1:61 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3551
Practice Address - Country:US
Practice Address - Phone:781-769-6210
Practice Address - Fax:781-769-5385
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARITAS NORWOOD HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-29
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3001341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1720716Medicaid
MA3001OtherDPH OFFICE OF EMS
MA3001OtherDPH OFFICE OF EMS