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Organization

THE COMMONWEALTH OF MASSACHUSETTS

Active
Parent organization
THE COMMONWEALTH OF MASSACHUSETTS
Other names
TAUNTON STATE HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
MR. JONATHAN CARVALHO (CHIEF OPERATING OFFICER)
(507) 977-3121
Entity
Organization

Contact information

Practice address
60 HODGES AVE, TAUNTON, MA 02780-3034
(508) 977-3110
Mailing address
PO BOX 4007, TAUNTON, MA 02780-0997

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110000084H
MA
Enumeration date
09/07/2006
Last updated
05/03/2023
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