| Southcoast Primary Care Inc | |
|
109 Fairhaven Road Southcoast Primary Care Inc Mattapoisett MA 02739 | |
| (508) 758-3781 | |
| (508) 758-4455 |
| Full Name | Southcoast Primary Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Fairhaven Road, Mattapoisett, Massachusetts |
| Authorized Official Name and Position | Mary Hodgson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5089852011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcoast Primary Care Inc 370 Faunce Corner Rd Southcoast Primary Care Inc North Dartmouth MA 02747 Ph: (508) 985-2000 | Southcoast Primary Care Inc 109 Fairhaven Road Southcoast Primary Care Inc Mattapoisett MA 02739 Ph: (508) 758-3781 |
| NPI Number | 1891783189 |
|---|---|
| Provider Enumeration Date | 10/11/2005 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891783189 | NPI | - | NPPES |
| CE9725 | Other | MA | RAILROAD MEDICARE |
| 9782036 | Medicaid | MA | |
| M16797 | Other | MA | BCBS MASSACHUSETTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |