Organization
SOUTHCOAST HOSPITALS GROUP, INC
Active
Parent organization
SOUTHCOAST HEALTH SYSTEM, INC
Other names
Southcoast Hospice & Palliative Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHCOAST HEALTH SYSTEM, INC
Authorized official
WILLIAM E GRIGG CPA, FHFMA (EXECUTIVE VICE PRESIDENT & CFO)
(508) 961-5016
Entity
Organization
Contact information
Practice address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 984-0200
(508) 984-0217
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 984-0200
(508) 984-0217
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
V113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000022409
BMC HEALTHNET
—
01
—
0014272
NEIGHBORHOOD HLTH PLAN
—
05
—
0606596
—
MA
01
—
221540
BLUE CROSS
—
01
—
6000002
UNITED HEALTH PLANS
—
01
—
612082
TUFTS
—
01
—
6300655
AETNA
—
01
—
702122
HARVARD PILGRIM
—
Enumeration date
07/27/2006
Last updated
07/16/2007
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