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BROCKTON HOSPITAL INC. NPI 1770504599


NPI Information

NPI: 1770504599
Provider Name: BROCKTON HOSPITAL, INC.

Doing Business As: SIGNATURE HEALTHCARE BROCKTON HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 22D2097124

Address:
680 CENTRE ST
BROCKTON, MA
ZIP 02302
Phone: (508) 941-7000
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BROCKTON HOSPITAL, INC. is a general acute care hospital in Brockton, MA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. BROCKTON HOSPITAL, INC. NPI is 1770504599. The provider is registered as an organization entity type.
The provider Is Doing Business As Signature Healthcare Brockton Hospital.

The provider's business location address is:

680 CENTRE ST
BROCKTON, MA
ZIP 02302-308
Phone: (508) 941-7000

The provider's authorized official is Robert Joseph Haffey .
The authorized official title is Ceo and has the following contact phone number (508) 941-7000.

The CLIA number assigned to this NPI record is 22D2097124 - ancillary testing site in health care center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 4/4/2024.


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
1282N00000XGeneral Acute Care Hospital2118MASSACHUSETTSYes
2282N00000XGeneral Acute Care HospitalNo

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
11002112MEDICAIDMASSACHUSETTS
21200283MEDICAIDMASSACHUSETTS
3M18952OTHERMASSACHUSETTSBCBS GROUP #

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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