# SOUTHCOAST PRIMARY CARE INC

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

## Provider details

- **NPI number:** 1891783189
- **Authorized official:** MARY HODGSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (508) 985-2011

## Contact information

- **Practice address:** 109 FAIRHAVEN ROAD, SOUTHCOAST PRIMARY CARE INC, MATTAPOISETT, MA 02739
- **Practice address phone:** (508) 758-3781
- **Practice address fax:** (508) 758-4455
- **Mailing address:** 370 FAUNCE CORNER RD, SOUTHCOAST PRIMARY CARE INC, NORTH DARTMOUTH, MA 02747
- **Mailing address phone:** (508) 985-2000
- **Mailing address fax:** (508) 985-2001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 03/05/2008