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SOUTHCOAST PHYSICIANS GROUP INC. NPI 1336137629


NPI Information

NPI: 1336137629
Provider Name: SOUTHCOAST PHYSICIANS GROUP, INC.

Former Legal Business Name: SOUTHCOAST PHYSICIAN SERVICES, INC.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
200 MILL ROAD
SUITE 180
FAIRHAVEN, MA
ZIP 02719
Phone: (508) 973-2000
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SOUTHCOAST PHYSICIANS GROUP, INC. is a family medicine in Fairhaven, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHCOAST PHYSICIANS GROUP, INC. NPI is 1336137629. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Southcoast Physician Services, Inc..

The provider's business location address is:

200 MILL ROAD
SUITE 180
FAIRHAVEN, MA
ZIP 02719-252
Phone: (508) 973-2000
Fax: (508) 973-2001

The provider's authorized official is Melissa Rose .
The authorized official title is Shs Vice President Of Contracting and has the following contact phone number (508) 973-2950.

The enumeration date for this NPI number is 10/11/2005 and was last updated on 6/28/2019.


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
1207R00000XInternal MedicineNo
2208600000XSurgeryNo
3208M00000XHospitalistNo
4261QU0200XClinic/CenterUrgent CareNo
5207Q00000XFamily 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BM11666MEDICAIDRHODE ISLAND
2CN5678OTHERMASSACHUSETTSRAILROAD MEDICARE
3M20518OTHERMASSACHUSETTSMEDICARE PIN
4SP28498MEDICAIDRHODE ISLAND
5BM20689MEDICAIDRHODE ISLAND
69779752MEDICAIDMASSACHUSETTS
7CD2506OTHERMASSACHUSETTSRAILROAD MEDICARE
8CG4450OTHERMASSACHUSETTSRAILROAD MEDICARE
9M16989OTHERMASSACHUSETTSBCBS MASSACHUSETTS

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.