SOUTHCOAST PRIMARY CARE INC NPI 1891783189

NPI Information

  • NPI: 1891783189
  • Provider Name: SOUTHCOAST PRIMARY CARE INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 22D2309299
  • Address: 109 FAIRHAVEN ROAD
    SOUTHCOAST PRIMARY CARE INC
    MATTAPOISETT, MA
    ZIP 02739
  • Phone: (508) 758-3781

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NPI Details

SOUTHCOAST PRIMARY CARE INC is a family medicine in Mattapoisett, 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 PRIMARY CARE INC NPI is 1891783189. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

109 FAIRHAVEN ROAD
SOUTHCOAST PRIMARY CARE INC
MATTAPOISETT, MA
ZIP 02739
Phone: (508) 758-3781
Fax: (508) 758-4455

The provider's authorized official is Mary Hodgson .
The authorized official title is Executive Director and has the following contact phone number (508) 985-2011.

The CLIA number assigned to this NPI record is 22D2309299 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2005 and was last updated on 3/5/2008.

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
1207R00000XInternal MedicineNo
2208000000XPediatricsNo
3207Q00000XFamily 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
1M16797OTHERMASSACHUSETTSBCBS MASSACHUSETTS
2CE9725OTHERMASSACHUSETTSRAILROAD MEDICARE
39782036MEDICAIDMASSACHUSETTS
4M20475MEDICARE PINMASSACHUSETTS

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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