| Organization Name: | HOPEDALE MEDICAL FOUNDATION |
| NPI Number: | 1174569438 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALFRED NELLO ROSSI (CEO) |
| Mailing Address: | 107 Tremont Hopedale |
| State: | IL US |
| Postal Code: | 617470267 |
| Phone Number: | 3094493321 |
| Fax Number: | 3094495441 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 1706400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |