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COMMONWEALTH OF MA D/B/A BROCKTON MULTI-SERVICE CENTER NPI 1043441611


NPI Information

NPI: 1043441611
Provider Name: COMMONWEALTH OF MA, D/B/A BROCKTON MULTI-SERVICE CENTER

Other Name: EMERGENCY SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
165 QUINCY ST
BROCKTON, MA
ZIP 02302
Phone: (508) 897-2000
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COMMONWEALTH OF MA, D/B/A BROCKTON MULTI-SERVICE CENTER is a mental health (including community mental health center) clinic center in Brockton, MA. COMMONWEALTH OF MA, D/B/A BROCKTON MULTI-SERVICE CENTER NPI is 1043441611. The provider is registered as an organization entity type.
The provider Other Name Is Emergency Services.

The provider's business location address is:

165 QUINCY ST
BROCKTON, MA
ZIP 02302-988
Phone: (508) 897-2000

The provider's authorized official is Richard Jobin .
The authorized official title is Site Director and has the following contact phone number (508) 897-2069.

The enumeration date for this NPI number is 7/30/2009 and was last updated on 7/30/2009.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 4/28/2024

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