Provider Type Icon

SOUTHCOAST PHYSICIAN SERVICES INC NPI 1104874874


NPI Information

NPI: 1104874874
Provider Name: SOUTHCOAST PHYSICIAN SERVICES INC

Doing Business As: TRUESDALE MEDICAL SPECIALTIES ASSOCIATES

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 22D0899824

Address:
1030 PRESIDENT AVE
SUITE 104
FALL RIVER, MA
ZIP 02720
Phone: (508) 676-3411
Get Directions

SOUTHCOAST PHYSICIAN SERVICES INC is a gastroenterology internal medicine in Fall River, MA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. SOUTHCOAST PHYSICIAN SERVICES INC NPI is 1104874874. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Truesdale Medical Specialties Associates.

The provider's business location address is:

1030 PRESIDENT AVE
SUITE 104
FALL RIVER, MA
ZIP 02720-923
Phone: (508) 676-3411
Fax: (508) 235-6656

The provider's authorized official is Mary M Hodgson .
The authorized official title is Director Of Finance and has the following contact phone number (508) 985-2011.

The CLIA number assigned to this NPI record is 22D0899824 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/5/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes
2207R00000XInternal MedicineX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10021912OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH
2B10187907OTHERMASSACHUSETTSCIGNA
3000000021264OTHERMASSACHUSETTSBMC HEALTHNET
4004236OTHERRHODE ISLANDBLUE CHIP
5M17689OTHERMASSACHUSETTSBC BS OF MASS
60000025599OTHERRHODE ISLANDBC BS OF RI
7620388OTHERMASSACHUSETTSTUFTS
844108OTHERMASSACHUSETTSAETNA US HEALTHCARE
99704876MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.