institution
Brockton Neighborhood Health Center
Federally Qualified Health Center (FQHC) in Brockton, Massachusetts
NPI 1225085319

Brockton Neighborhood Health Center is a Federally Qualified Health Center (FQHC) based in Brockton, MA and is specialized in Federally Qualified Health Center (FQHC). Brockton Neighborhood Health Center practices in Brockton, MA. The NPI Number for Brockton Neighborhood Health Center is 1225085319 and holds a License No. 4896 (Massachusetts).

The current practice location address for Brockton Neighborhood Health Center is 63 Main St, Brockton, MA and can be reached out via phone at 508-559-6699 and via fax at 508-559-5073.

Location: 63 Main St, Brockton, MA, 02301-4042
institution
Provider Profile Details
NPI Number
1225085319
Provider Name
Brockton Neighborhood Health Center
Credential
Provider Entity Type
Organization
Address
63 Main St, Brockton, MA, 02301-4042
Phone Number
508-559-6699
Fax Number
508-559-5073
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0192330 01 MA UNITED CARE
0006827 01 MA NHP
M18107 01 MA BLUE CROSS BLUE SHIELD
1309927 01 MA MASSHEALTH
000000021197 05 MA
606260 01 MA 606260
institution
Provider Business Practice Location Address Details
Address
63 Main St
City
State
Zip
02301-4042
Phone Number
508-559-6699
Fax Number
508-559-5073
person
Provider Business Mailing Address Details
Address
63 Main St
City
State
Zip
02301-4042
Phone Number
508-559-6699
Fax Number
508-559-5073
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
4896 (Massachusetts)
Definition
Definition to come...
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