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Contact Information

ST JOHNS EMERGENCY ASSOC
1 HOSPITAL DR
SAINTS MEDICAL CENTER
LOWELL, MA01852
 Phone: 978-458-1411
 Fax: 978-453-9330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ST JOHNS EMERGENCY ASSOC

NPI Number 1154495422
LBN Legal business name ST JOHNS EMERGENCY ASSOC
Authorized official PETER GORLIN - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MA Medicaid 9784713
MA Other M17128 BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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