Active NPIOrganization

Commonwealth Of Massachusetts

Case Management in Brockton, Massachusetts

NPI Number1245364595
Practice location
60 Main Street, 3RD Floor, Brockton, MA 02301
Fax
508-586-9316
Last updated
March 19, 2026

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 1245364595 and holds a License No. Exampt. The current practice location address for Commonwealth Of Massachusetts is 60 Main Street, 3RD Floor, Brockton, MA 02301 and can be reached out via phone at 508-427-5731 and via fax at 508-586-9316.

Provider Profile Details

NPI Number
1245364595
Provider Name
Commonwealth Of Massachusetts
Provider Entity Type
Organization
Address
60 Main Street, 3RD Floor, Brockton, MA 02301
Phone Number
508-427-5731
Fax Number
508-586-9316
Primary Taxonomy
Case Management · 251B00000X
Organization Subpart
Yes
Parent Organization
Commonwealth Of Massachusetts
Authorized Official
Dylan Lattimore · Deputy Commissioner Of Administrat · 857-408-0675
Other Names
DDS Brockton Area Office (Doing Business As)
Provider Enumeration Date
March 16, 2007
Last Update Date
March 19, 2026
Certification Date
March 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Main Street
3RD Floor
Brockton, MA 02301
Zip
02301
Phone Number
508-427-5731
Fax Number
508-586-9316
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
40 Broad Street
4TH Floor
Boston, MA 02109
City
Boston
State
MA
Zip
02109
Phone Number
617-727-5608
Fax Number
617-624-7577

License Information

License Number
Exampt
Taxonomy
Case Management · 251B00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 1245364595. It was assigned on March 16, 2007 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 Case Management (code 251B00000X), licensed under license number Exampt.

Where does Commonwealth Of Massachusetts practice?

The practice location is 60 Main Street, 3RD Floor, Brockton, MA 02301. The office can be reached at 508-427-5731 (phone) or 508-586-9316 (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 1245364595 directly on the NPPES registry website.

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