VA Medical Center Brockton Ma
Psychiatric Hospital in Brockton, Massachusetts
1104077544- Practice location
- 25 Belmont CT Apt 8, Brockton, MA 02301-4730
- Phone
- 774-826-2456
- Fax
- —
- Last updated
- October 3, 2008
VA Medical Center Brockton Ma is a healthcare organization based in Brockton, MA. VA Medical Center Brockton Ma practices in Brockton, MA. The NPI Number for VA Medical Center Brockton Ma is 1104077544 and holds a License No. 233250 (MA). The current practice location address for VA Medical Center Brockton Ma is 25 Belmont CT Apt 8, Brockton, MA 02301-4730 and can be reached out via phone at 774-826-2456.
Provider Profile Details
- NPI Number
- 1104077544
- Provider Name
- VA Medical Center Brockton Ma
- Provider Entity Type
- Organization
- Address
- 25 Belmont CT Apt 8, Brockton, MA 02301-4730
- Phone Number
- 774-826-2456
- Primary Taxonomy
- Psychiatric Hospital · 283Q00000X
- Organization Subpart
- No
- Authorized Official
- Mark Bauer · Program Director · 774-826-2456
- Provider Enumeration Date
- October 3, 2008
- Last Update Date
- October 3, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Belmont CT Apt 8
Brockton, MA 02301-4730 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-4730
- Phone Number
- 774-826-2456
Provider Business Mailing Address Details
- Address
- 25 Belmont CT Apt 8
Brockton, MA 02301-4730 - City
- Brockton
- State
- MA
- Zip
- 02301-4730
License Information
- License Number
- 233250
- License State
- MA
- Taxonomy
- Psychiatric Hospital · 283Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of VA Medical Center Brockton Ma?
The NPI number of VA Medical Center Brockton Ma is 1104077544. It was assigned on October 3, 2008 and is currently active in the NPPES registry.
What is the specialty of VA Medical Center Brockton Ma?
VA Medical Center Brockton Ma is registered under the primary taxonomy Psychiatric Hospital (code 283Q00000X), licensed in MA under license number 233250.
Where does VA Medical Center Brockton Ma practice?
The practice location is 25 Belmont CT Apt 8, Brockton, MA 02301-4730. The office can be reached at 774-826-2456 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104077544 directly on the NPPES registry website.