Provider Demographics
NPI:1912286220
Name:MORTON HOSPITAL, A STEWARD FAMILY HOSPITAL, INC.
Entity Type:Organization
Organization Name:MORTON HOSPITAL, A STEWARD FAMILY HOSPITAL, INC.
Other - Org Name:MORTON HOSPITAL- HOME CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:EVP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:RENNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-419-4772
Mailing Address - Street 1:2007 BAY ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-1086
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2007 BAY ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-1086
Practice Address - Country:US
Practice Address - Phone:508-880-9145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEWARD MEDICAL HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-04
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health