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SOUTHCOAST WOMANS CARE PC NPI 1942216494

NPI Profile

NPI: 1942216494
Provider Name: SOUTHCOAST WOMANS CARE PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 22D1035447

Address:
300 HANOVER ST
STE 1E
FALL RIVER, MA
ZIP 02720
Get Directions

Phone: (508) 679-7770

SOUTHCOAST WOMANS CARE PC is an obstetrics gynecology in Fall River, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SOUTHCOAST WOMANS CARE PC NPI is 1942216494. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 HANOVER ST
STE 1E
FALL RIVER, MA
ZIP 02720-444
Phone: (508) 679-7770
Fax: (508) 679-7786

The provider's authorized official is Michelle Laura Hughes .
The authorized official title is Physician and has the following contact phone number (508) 679-7770.

The CLIA number assigned to this NPI record is 22D1035447 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 10/17/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology72991MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERMASSACHUSETTSTAX ID
2E73522MEDICARE UPINMASSACHUSETTS
3J10686MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSINDIVIDUAL ID
4M18916OTHERMASSACHUSETTSBCBS MA
5625182OTHERMASSACHUSETTSTUFTS
63064506MEDICAIDMASSACHUSETTS
7M21645MEDICARE ID-TYPE UNSPECIFIEDMARYLANDGROUP NUMBER
89750801MEDICAIDMASSACHUSETTS

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: 7/9/2020

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