Provider Demographics
NPI:1801164157
Name:REGIONAL HEALTH AUTHORITY FOUR
Entity type:Organization
Organization Name:REGIONAL HEALTH AUTHORITY FOUR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PELLETIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:506-739-2866
Mailing Address - Street 1:275 BOULEVARD HEBERT
Mailing Address - Street 2:
Mailing Address - City:EDMUNDSTON
Mailing Address - State:NEW-BRUNSWICK
Mailing Address - Zip Code:E3V 4E4
Mailing Address - Country:CA
Mailing Address - Phone:506-739-2866
Mailing Address - Fax:506-739-2333
Practice Address - Street 1:275 BOULEVARD HEBERT
Practice Address - Street 2:
Practice Address - City:EDMUNDSTON
Practice Address - State:NEW-BRUNSWICK
Practice Address - Zip Code:E3V 4E4
Practice Address - Country:CA
Practice Address - Phone:506-739-2866
Practice Address - Fax:506-739-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital