- Enrollment id
- O20241029003259
- Enrollment state
- MA
- Provider type code
- 00-09
- Provider type text
- PART A PROVIDER - HOSPITAL
- Npi
- 1013744200
- Multiple npi flag
- N
- Ccn
- 22S020
- Associate id
- 7214460278
- Organization name
- LIFESPAN OF MASSACHUSETTS - FALL RIVER INC
- Doing business as name
- BROWN UNIVERSITY HEALTH SAINT ANNE'S HOSPITAL
- Incorporation date
- 2024-10-01
- Incorporation state
- MA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 795 MIDDLE ST
- City
- FALL RIVER
- State
- MA
- Zip code
- 27211733
- Practice location type
- HOSPITAL PSYCHIATRIC UNIT
- Subgroup - general
- N
- Subgroup - acute care
- N
- Subgroup - alcohol drug
- N
- Subgroup - childrens
- N
- Subgroup - long-term
- N
- Subgroup - psychiatric
- N
- Subgroup - rehabilitation
- N
- Subgroup - short-term
- N
- Subgroup - swing-bed approved
- N
- Subgroup - psychiatric unit
- Y
- Subgroup - rehabilitation unit
- N
- Subgroup - specialty hospital
- N
- Subgroup - other
- N
- Reh conversion flag
- N