Provider Demographics
NPI:1619163326
Name:FRANCISCAN HOSPITAL FOR CHILDREN
Entity Type:Organization
Organization Name:FRANCISCAN HOSPITAL FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-254-3800
Mailing Address - Street 1:76 QUINT AVE
Mailing Address - Street 2:9
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-2550
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:76 QUINT AVE
Practice Address - Street 2:APT. 9
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-2550
Practice Address - Country:US
Practice Address - Phone:860-930-8269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren