Organization
STEWARD GOOD SAMARITAN MEDICAL CENTER, INC.
Active
Parent organization
STEWARD HEALTH CARE SYSTEM LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEWARD HEALTH CARE SYSTEM LLC
Authorized official
JAMES RENNA (CHIEF FINANCIAL OFFICER)
(617) 419-4700
Entity
Organization
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3000
(617) 562-7241
Mailing address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3000
(617) 562-7241
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086667A
—
MA
05
—
110086667C
—
MA
Enumeration date
07/12/2010
Last updated
11/09/2011
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