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STANLEY STREET TREATMENT AND RESOURCES INC NPI 1902176449


NPI Information

NPI: 1902176449
Provider Name: STANLEY STREET TREATMENT AND RESOURCES, INC

Doing Business As: SSTAR SOUTH END SERVICES

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1010 SOUTH MAIN STREET
FALL RIVER, MA
ZIP 02724
Phone: (508) 324-3557
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STANLEY STREET TREATMENT AND RESOURCES, INC is a federally qualified health center (fqhc) clinic center in Fall River, MA. STANLEY STREET TREATMENT AND RESOURCES, INC NPI is 1902176449. The provider is registered as an organization entity type.
The provider Is Doing Business As Sstar South End Services.

The provider's business location address is:

1010 SOUTH MAIN STREET
FALL RIVER, MA
ZIP 02724-855
Phone: (508) 324-3557
Fax: (508) 324-7777

The provider's authorized official is Linda Schofield .
The authorized official title is Credentialing Specialist and has the following contact phone number (508) 675-1054.

The enumeration date for this NPI number is 12/30/2011 and was last updated on 1/5/2015.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)1-F00000909-11-01Yes

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
14379OTHERMASSACHUSETTSDPH CLINIC LICENSE
222D0938610OTHERCLIA LAB

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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