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Organization
BAY STATE COMMUNITY SERVICES, INC.
Active
Organization
BAY STATE COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAURICE COX (CEO)
(617) 471-8400
Entity
Organization
Contact information
Practice address
1120 HANCOCK ST, QUINCY, MA 02169-4313
(617) 471-8400
(617) 376-0456
Mailing address
1120 HANCOCK ST, QUINCY, MA 02169-4313
(617) 471-8400
(617) 376-0456
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4337
MA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
0565
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008418
BOSTON MEDICAL HEALTHNET
MA
01
—
1003840
BEACON HEALTH - NHP
MA
05
—
110027843/A
—
MA
05
—
110027843/B
—
MA
05
—
110027843C
—
MA
05
—
110027843D
—
MA
05
—
110027843E
—
MA
01
—
613043
TUFTS HEALTH PLAN
MA
01
—
99622801
NETWORK HEALTH
MA
Enumeration date
07/07/2005
Last updated
06/18/2025
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