Good Samaritan Medical Center Psychiatric Unit | |
235 N Pearl St Brockton MA 02301-1794 | |
(508) 427-3000 | |
(617) 562-7241 |
Full Name | Good Samaritan Medical Center Psychiatric Unit |
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Speciality | Psychiatric Unit |
Location | 235 N Pearl St, Brockton, Massachusetts |
Authorized Official Name and Position | James Renna (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 6174194700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Good Samaritan Medical Center Psychiatric Unit 235 N Pearl St Brockton MA 02301-1794 Ph: (508) 427-3000 | Good Samaritan Medical Center Psychiatric Unit 235 N Pearl St Brockton MA 02301-1794 Ph: (508) 427-3000 |
NPI Number | 1164735957 |
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Provider Enumeration Date | 07/21/2010 |
Last Update Date | 11/09/2011 |
Medicare PECOS PAC ID | 8123214715 |
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Medicare Enrollment ID | O20180305001026 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164735957 | NPI | - | NPPES |
110086667B | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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