SOUTHCOAST PHYSICIAN SERVICES INC NPI 1104874874

NPI Information

  • NPI: 1104874874
  • Provider Name: SOUTHCOAST PHYSICIAN SERVICES INC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 22D1023245
  • Address: 1030 PRESIDENT AVE
    SUITE 104
    FALL RIVER, MA
    ZIP 02720
  • Phone: (508) 676-3411

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NPI Details

SOUTHCOAST PHYSICIAN SERVICES INC is an internal medicine in Fall River, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 .

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 22D1023245 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 9/11/2025.

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
1207RG0100XInternal MedicineGastroenterologyNo
2207R00000XInternal MedicineYes

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
19704876MEDICAIDMASSACHUSETTS
2M17689OTHERMASSACHUSETTSBC BS OF MASS
3004236OTHERRHODE ISLANDBLUE CHIP
4B10187907OTHERMASSACHUSETTSCIGNA
50000025599OTHERRHODE ISLANDBC BS OF RI
60021912OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH
7000000021264OTHERMASSACHUSETTSBMC HEALTHNET
844108OTHERMASSACHUSETTSAETNA US HEALTHCARE
9620388OTHERMASSACHUSETTSTUFTS

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: 11/21/2025

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