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CARITAS GOOD SAMARITAN MEDICAL CENTER NPI 1144350620


NPI Information

NPI: 1144350620
Provider Name: CARITAS GOOD SAMARITAN MEDICAL CENTER
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
235 N PEARL ST
BROCKTON, MA
ZIP 02301
Phone: (508) 427-2831
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CARITAS GOOD SAMARITAN MEDICAL CENTER is a durable medical equipment medical supplies in Brockton, MA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CARITAS GOOD SAMARITAN MEDICAL CENTER NPI is 1144350620. The provider is registered as an organization entity type.

The provider's business location address is:

235 N PEARL ST
BROCKTON, MA
ZIP 02301-794
Phone: (508) 427-2831

The provider's authorized official is Mark Rich .
The authorized official title is Cfo and has the following contact phone number (617) 789-2515.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 6/15/2009.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
11008595MEDICAIDMASSACHUSETTS
21429290001MEDICARE NSCMASSACHUSETTS
3220111MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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

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