Organization
ANNA JAQUES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELIA OCONNOR (PRESIDENT & CEO)
(978) 463-1010
Entity
Organization
Contact information
Practice address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
(978) 463-1000
(978) 834-8108
Mailing address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
(978) 463-1000
(978) 834-8108
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
683
MA
282N00000X
General Acute Care Hospital
Primary
30
MA
314000000X
Skilled Nursing Facility
4004
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000357
—
MA
05
—
1200119
—
MA
01
—
220029
MEDICARE
MA
01
—
22S029
MEDICARE
MA
Enumeration date
02/14/2006
Last updated
08/21/2007
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