Organization
UHS OF FULLER INC
Active
Other names
Fuller Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (CFO/ SR VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
200 MAY ST, S ATTLEBORO, MA 02703-5520
(508) 761-8500
Mailing address
200 MAY ST, S ATTLEBORO, MA 02703-5520
(508) 761-8500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
689
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103091
—
MA
Enumeration date
01/24/2006
Last updated
09/12/2024
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