Organization
STANLEY STREET TREATMENT AND RESOURCES, INC
Active
Other names
Family Healthcare Center at SSTAR
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH CANTAFIO (FINANCE DIRECTOR)
(508) 675-1054
Entity
Organization
Contact information
Practice address
400 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 675-1054
(508) 324-7777
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 675-1054
(508) 324-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
4379
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1308858
—
MA
01
—
66-90265
UNITED HEALTHCARE
MA
01
—
670270
TUFTS
MA
01
—
725921
TUFTS
MA
01
—
DC6638
RAILROAD MEDICARE
MA
01
—
GR 000000001438
BMC HEALTHNET
MA
05
—
SS04283
—
RI
Enumeration date
07/14/2006
Last updated
03/21/2019
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