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THE COMMONWEALTH OF MASSACHUSETTS NPI 1326155458


NPI Information

NPI: 1326155458
Provider Name: THE COMMONWEALTH OF MASSACHUSETTS

Doing Business As: BROCKTON MULTI SERVICE CENTER

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) 897-2069
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THE COMMONWEALTH OF MASSACHUSETTS is a mental health (including community mental health center) clinic center in Brockton, MA. THE COMMONWEALTH OF MASSACHUSETTS NPI is 1326155458. The provider is registered as an organization entity type.
The provider Is Doing Business As Brockton Multi Service Center.

The provider's business location address is:

165 QUINCY ST
BROCKTON, MA
ZIP 02302-988
Phone: (508) 897-2069

The provider's authorized official is Mona Mackinnon .
The authorized official title is Center Director and has the following contact phone number (774) 297-3246.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 5/3/2023.


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
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)MASSACHUSETTSYes

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
11305565MEDICAIDMASSACHUSETTS
22155167OTHERPK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.