Commonwealth Of Massachusetts
Community Based Residential Treatment Facility, Mental Illness in Brockton, Massachusetts
1144768045- Practice location
- 165 Quincy St, Brockton, MA 02302-2988
- Phone
- 508-897-2100
- Fax
- 508-586-5117
- Last updated
- February 10, 2017
Commonwealth Of Massachusetts is a healthcare organization based in Brockton, MA. Commonwealth Of Massachusetts practices in Brockton, MA. The NPI Number for Commonwealth Of Massachusetts is 1144768045 and holds a License No. LN25249 (MA). The current practice location address for Commonwealth Of Massachusetts is 165 Quincy St, Brockton, MA 02302-2988 and can be reached out via phone at 508-897-2100 and via fax at 508-586-5117.
Provider Profile Details
- NPI Number
- 1144768045
- Provider Name
- Commonwealth Of Massachusetts
- Provider Entity Type
- Organization
- Address
- 165 Quincy St, Brockton, MA 02302-2988
- Phone Number
- 508-897-2100
- Fax Number
- 508-586-5117
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Merleen Mills, LICSW · Dirtector Of Emergency Services · 508-285-9400
- Other Names
- Brockton Multiservice Center (Other Name)
- Provider Enumeration Date
- February 10, 2017
- Last Update Date
- February 10, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 165 Quincy St
Brockton, MA 02302-2988 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302-2988
- Phone Number
- 508-897-2100
- Fax Number
- 508-586-5117
Provider Business Mailing Address Details
- Address
- 165 Quincy St.
Brockton, MA 02301 - City
- Brockton
- State
- MA
- Zip
- 02301
- Phone Number
- 508-897-2100
- Fax Number
- 508-586-5117
License Information
- License Number
- LN25249
- License State
- MA
- Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X · 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 Commonwealth Of Massachusetts?
The NPI number of Commonwealth Of Massachusetts is 1144768045. It was assigned on February 10, 2017 and is currently active in the NPPES registry.
What is the specialty of Commonwealth Of Massachusetts?
Commonwealth Of Massachusetts is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X), licensed in MA under license number LN25249.
Where does Commonwealth Of Massachusetts practice?
The practice location is 165 Quincy St, Brockton, MA 02302-2988. The office can be reached at 508-897-2100 (phone) or 508-586-5117 (fax).
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 1144768045 directly on the NPPES registry website.