Provider Demographics
NPI:1720369036
Name:QUINCY MEDICAL CENTER, A STEWARD FAMILY HOSPITAL, INC.
Entity Type:Organization
Organization Name:QUINCY MEDICAL CENTER, A STEWARD FAMILY HOSPITAL, INC.
Other - Org Name:QUINCY MEDICAL CENTER, A STEWARD FAMILY HOSPITAL, INC. (PSYCH)
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:RENNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-419-4700
Mailing Address - Street 1:114 WHITWELL ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-1870
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:114 WHITWELL ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-1870
Practice Address - Country:US
Practice Address - Phone:617-773-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEWARD MEDICIAL HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit