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Southcoast Primary Care Inc

Southcoast Primary Care Inc is a health care provider in North Dartmouth, MA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 109 Fairhaven Road, Southcoast Primary Care Inc, Mattapoisett, MA 02739, US
Practice Location Phone508-758-3781
Practice Location Fax508-758-4455
Legal Business NameSOUTHCOAST PRIMARY CARE INC
NPI ?1891783189
Entity TypeOrganization
Enumeration Date ? Oct 11, 2005
Last Update Date ? Mar 5, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Southcoast Primary Care Inc

SpecialtySpecializationLicenseLicense State
Family Medicine
Internal Medicine
Pediatrics

legacy-id-icon Legacy Provider IDs of Southcoast Primary Care Inc

Provider IdIssuer StateIssuer TypeIssuer
CE9725MassachusettsOtherRAILROAD MEDICARE
9782036MassachusettsMedicaid
M16797MassachusettsOtherBCBS MASSACHUSETTS

official-icon Authorized Official of Southcoast Primary Care Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Southcoast Primary Care Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mary Hodgson
Authorized Official Title/PositionEXECUTIVE DIRECTOR
Authorized Official Phone Number508-985-2011