Active NPIOrganization

Commonwealth Of Massachusetts-Dmh

Community/Behavioral Health in Brockton, Massachusetts

NPI Number1710006051
Practice location
165 Quincy St, Brockton, MA 02302-2988
Fax
—
Last updated
August 22, 2020

Commonwealth Of Massachusetts-Dmh is a healthcare organization based in Brockton, MA. Commonwealth Of Massachusetts-Dmh practices in Brockton, MA. The NPI Number for Commonwealth Of Massachusetts-Dmh is 1710006051 and holds a License No. Exempt (MA). The current practice location address for Commonwealth Of Massachusetts-Dmh is 165 Quincy St, Brockton, MA 02302-2988 and can be reached out via phone at 508-897-2000.

Provider Profile Details

NPI Number
1710006051
Provider Name
Commonwealth Of Massachusetts-Dmh
Provider Entity Type
Organization
Address
165 Quincy St, Brockton, MA 02302-2988
Phone Number
508-897-2000
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Mr. Ronald Dailey · Area Operations Manager · 508-897-2000
Other Names
Southeast Area Office Rehab Option (Doing Business As)
Provider Enumeration Date
March 28, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
165 Quincy St
Brockton, MA 02302-2988
Zip
02302-2988
Phone Number
508-897-2000
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
25 Staniford St
Boston, MA 02114-2503
City
Boston
State
MA
Zip
02114-2503
Phone Number
617-626-8000

License Information

License Number
Exempt
License State
MA
Taxonomy
Community/Behavioral Health · 251S00000X · 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-Dmh?

The NPI number of Commonwealth Of Massachusetts-Dmh is 1710006051. It was assigned on March 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Commonwealth Of Massachusetts-Dmh?

Commonwealth Of Massachusetts-Dmh is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in MA under license number Exempt.

Where does Commonwealth Of Massachusetts-Dmh practice?

The practice location is 165 Quincy St, Brockton, MA 02302-2988. The office can be reached at 508-897-2000 (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 1710006051 directly on the NPPES registry website.

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