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STANLEY STREET TREATMENT AND RESOURCES INC NPI 1063438133


NPI Information

NPI: 1063438133
Provider Name: STANLEY STREET TREATMENT AND RESOURCES, INC

Doing Business As: FAMILY HEALTHCARE CENTER AT SSTAR

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
400 STANLEY ST
FALL RIVER, MA
ZIP 02720
Phone: (508) 675-1054
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STANLEY STREET TREATMENT AND RESOURCES, INC is a federally qualified health center (fqhc) clinic center in Fall River, MA. STANLEY STREET TREATMENT AND RESOURCES, INC NPI is 1063438133. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Healthcare Center At Sstar.

The provider's business location address is:

400 STANLEY ST
FALL RIVER, MA
ZIP 02720-009
Phone: (508) 675-1054
Fax: (508) 324-7777

The provider's authorized official is Beth Cantafio .
The authorized official title is Finance Director and has the following contact phone number (508) 675-1054.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 3/21/2019.


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
1207Q00000XFamily MedicineNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)4379MASSACHUSETTSYes

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
1SS04283MEDICAIDRHODE ISLAND
2DC6638OTHERMASSACHUSETTSRAILROAD MEDICARE
31308858MEDICAIDMASSACHUSETTS
4670270OTHERMASSACHUSETTSTUFTS
566-90265OTHERMASSACHUSETTSUNITED HEALTHCARE
6725921OTHERMASSACHUSETTSTUFTS
7GR 000000001438OTHERMASSACHUSETTSBMC HEALTHNET

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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