Family Rehab Clinic
Preferred Provider Organization in Brockton, Massachusetts
1750504957- Practice location
- 231 Main St Ste 103, Brockton, MA 02301-4342
- Phone
- 508-587-0404
- Fax
- 508-587-0458
- Last updated
- August 22, 2020
Family Rehab Clinic is a healthcare organization based in Brockton, MA. Family Rehab Clinic practices in Brockton, MA. The NPI Number for Family Rehab Clinic is 1750504957 and holds a License No. 204 (MA). The current practice location address for Family Rehab Clinic is 231 Main St Ste 103, Brockton, MA 02301-4342 and can be reached out via phone at 508-587-0404 and via fax at 508-587-0458.
Provider Profile Details
- NPI Number
- 1750504957
- Provider Name
- Family Rehab Clinic
- Provider Entity Type
- Organization
- Address
- 231 Main St Ste 103, Brockton, MA 02301-4342
- Phone Number
- 508-587-0404
- Fax Number
- 508-587-0458
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- No
- Authorized Official
- Flora Correia · Ceo · 598-260-4227
- Provider Enumeration Date
- April 10, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 231 Main St Ste 103
Brockton, MA 02301-4342 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-4342
- Phone Number
- 508-587-0404
- Fax Number
- 508-587-0458
Provider Business Mailing Address Details
- Address
- 231 Main St Ste 103
Brockton, MA 02301-4342 - City
- Brockton
- State
- MA
- Zip
- 02301-4342
- Phone Number
- 508-587-0404
- Fax Number
- 508-587-0458
License Information
- License Number
- 204
- License State
- MA
- Taxonomy
- Preferred Provider Organization · 305R00000X · 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 Family Rehab Clinic?
The NPI number of Family Rehab Clinic is 1750504957. It was assigned on April 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Family Rehab Clinic?
Family Rehab Clinic is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in MA under license number 204.
Where does Family Rehab Clinic practice?
The practice location is 231 Main St Ste 103, Brockton, MA 02301-4342. The office can be reached at 508-587-0404 (phone) or 508-587-0458 (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 1750504957 directly on the NPPES registry website.