Provider Demographics
NPI:1851582696
Name:SAINT ANNES HOSPITAL
Entity Type:Organization
Organization Name:SAINT ANNES HOSPITAL
Other - Org Name:SAINT ANNES MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:V
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-674-5600
Mailing Address - Street 1:829 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02724-2944
Mailing Address - Country:US
Mailing Address - Phone:508-674-5600
Mailing Address - Fax:
Practice Address - Street 1:829 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02724-2944
Practice Address - Country:US
Practice Address - Phone:508-674-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226242207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1300172Medicaid
MA1300172Medicaid
I45848Medicare UPIN
MA220020Medicare PIN