| Signature Healthcare Brockton Hospital | |
|
680 Centre St Brockton MA 02302-3308 | |
| (508) 941-7000 | |
| Not Available |
| Full Name | Signature Healthcare Brockton Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 680 Centre St, Brockton, Massachusetts |
| Authorized Official Name and Position | Robert Joseph Haffey (CEO) |
| Authorized Official Contact | 5089417000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Healthcare Brockton Hospital 680 Centre St Brockton MA 02302-3395 Ph: (508) 941-7555 | Signature Healthcare Brockton Hospital 680 Centre St Brockton MA 02302-3308 Ph: (508) 941-7000 |
| NPI Number | 1689695405 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 04/04/2024 |
| Certification Date | 10/03/2023 |
| Medicare PECOS PAC ID | 4082504733 |
|---|---|
| Medicare Enrollment ID | O20200228000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689695405 | NPI | - | NPPES |
| 110026502B | Medicaid | MA | |
| 110026502C | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2118 (Massachusetts) | Primary |
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