# CARITAS GOOD SAMARITAN MEDICAL CENTER-OUTPATIENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407946106
- **Authorized official:** ROBERT GUYON (OFFICE CONTACT)
- **Authorized official phone:** (508) 427-2217

## Contact information

- **Practice address:** 235 N PEARL ST, BROCKTON, MA 02301-1794
- **Practice address phone:** (508) 427-3668
- **Mailing address:** 77 WARREN STREET, PROVIDER ENROLLMENT DEPT, BRIGHTON, MA 02135
- **Mailing address phone:** (617) 562-5359
- **Mailing address fax:** (617) 562-5415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/22/2020