BROCKTON NEIGHBORHOOD HEALTH CENTER NPI 1225085319

NPI Information

NPI: 1225085319
Provider Name: BROCKTON NEIGHBORHOOD HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
63 MAIN ST
BROCKTON, MA
ZIP 02301
Phone: (508) 559-6699
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BROCKTON NEIGHBORHOOD HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Brockton, MA. BROCKTON NEIGHBORHOOD HEALTH CENTER NPI is 1225085319. The provider is registered as an organization entity type.

The provider's business location address is:

63 MAIN ST
BROCKTON, MA
ZIP 02301-042
Phone: (508) 559-6699
Fax: (508) 559-5073

The provider's authorized official is Melvin Benson .
The authorized official title is Cfo and has the following contact phone number (508) 894-3642.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 5/3/2018.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	4896	MASSACHUSETTS	Yes

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	606260	OTHER	MASSACHUSETTS	606260
2	000000021197	MEDICAID	MASSACHUSETTS
3	0192330	OTHER	MASSACHUSETTS	UNITED CARE
4	M18107	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
5	1309927	OTHER	MASSACHUSETTS	MASSHEALTH
6	0006827	OTHER	MASSACHUSETTS	NHP

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

NPI Synchronization or Removal

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