| Caritas Good Samaritan Medical Center-impatient Gero Psych | |
|
235 N Pearl St Brockton MA 02301-1794 | |
| (508) 427-3668 | |
| Not Available |
| Full Name | Caritas Good Samaritan Medical Center-impatient Gero Psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 235 N Pearl St, Brockton, Massachusetts |
| Authorized Official Name and Position | Robert Guyon (OFFICE CONTACT) |
| Authorized Official Contact | 5084272217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caritas Good Samaritan Medical Center-impatient Gero Psych 77 Warren Street Provider Enrollment Dept Brighton MA 02135 Ph: (617) 562-5359 | Caritas Good Samaritan Medical Center-impatient Gero Psych 235 N Pearl St Brockton MA 02301-1794 Ph: (508) 427-3668 |
| NPI Number | 1689763948 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689763948 | NPI | - | NPPES |
| 1008595 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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