institution
Brockton Neighborhood Health Center
Federally Qualified Health Center (FQHC) in Brockton, Massachusetts
NPI 1497148407

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 1497148407 and holds a License No. 4896 (Massachusetts).

The current practice location address for Brockton Neighborhood Health Center is 158 Pleasant Street, Brockton, MA and can be reached out via phone at 508-559-6699 and via fax at 508-559-5073.

Location: 158 Pleasant Street, Brockton, MA, 02301
institution
Provider Profile Details
NPI Number
1497148407
Provider Name
Brockton Neighborhood Health Center
Credential
Provider Entity Type
Organization
Address
158 Pleasant Street, Brockton, MA, 02301
Phone Number
508-559-6699
Fax Number
508-559-5073
Provider Enumeration Date
03/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110028118/A 05 MA
221830 01 MA MEDICARE PART A
606260 01 MA 606260
M18107 01 MA BLUE CROSS BLUE SHIELD
000000021197 05 MA
M20905 01 MA MEDICARE PART B
0006827 01 MA NHP
0192330 01 MA UNITED CARE
institution
Provider Business Practice Location Address Details
Address
158 Pleasant Street
City
State
Zip
02301
Phone Number
508-559-6699
Fax Number
508-559-5073
person
Provider Business Mailing Address Details
Address
158 Pleasant Street
City
State
Zip
02301
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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